Provider Demographics
NPI:1053442921
Name:MURRAY, JAMIE ROACH (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:ROACH
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 SEARLES RD
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-6221
Mailing Address - Country:US
Mailing Address - Phone:860-428-5595
Mailing Address - Fax:
Practice Address - Street 1:25 SEARLES RD
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-6221
Practice Address - Country:US
Practice Address - Phone:860-428-5595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT045059208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics