MEDICARE: SIMON D MURRAY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25M04183200	NJ

General Provider Information

NPI Number	:	1093792764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIMON D MURRAY M.D.

Provider Business Mailing Address
First Line	:	168 DEMOTT LN
Second Line	:
City	:	SOMERSET
State	:	NJ
Zip	:	08873-1609
Country	:	US
Telephone Number	:	609-865-3545
Fax Number	:	732-739-9604

Provider Business Practice Location Address
First Line	:	485 GEORGES RD
Second Line	:
City	:	DAYTON
State	:	NJ
Zip	:	08810-2419
Country	:	US
Telephone Number	:	888-460-1151
Fax Number	:	732-385-3275

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2005
Last Update Date	:	02/16/2024

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