Provider Demographics
NPI:1003892449
Name:MURRAY, EVAN D (MD)
Entity Type:Individual
Prefix:
First Name:EVAN
Middle Name:D
Last Name:MURRAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-855-2354
Mailing Address - Fax:617-855-3731
Practice Address - Street 1:115 MILL ST
Practice Address - Street 2:MCLEAN HOSPITAL
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-1041
Practice Address - Country:US
Practice Address - Phone:617-855-2354
Practice Address - Fax:617-855-3731
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2014-06-17
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Provider Licenses
StateLicense IDTaxonomies
MA2232202084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology