Provider Demographics
NPI:1073594123
Name:CRAIG-MULLER, JURGEN (MD)
Entity Type:Individual
Prefix:
First Name:JURGEN
Middle Name:
Last Name:CRAIG-MULLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 FALMOUTH RD STE 201
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-2324
Mailing Address - Country:US
Mailing Address - Phone:774-470-5080
Mailing Address - Fax:508-775-6455
Practice Address - Street 1:1030 FALMOUTH RD
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-2324
Practice Address - Country:US
Practice Address - Phone:774-470-5080
Practice Address - Fax:508-775-6455
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA257566207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
6D059CROtherBLUE CROSS BLUE SHIELD
209925400OtherMEDICAL ASSISTANCE
HP25409OtherHEALTH PARTNERS
110894OtherU CARE
2114032OtherFIRST HEALTH PLAN
3200835OtherMEDICA HEALTH PLANS
600906OtherARAZ GROUP AMERICAS PPO
1006227OtherPREFERRED ONE
MN37098OtherLICENSE NUMBER
HP25409OtherHEALTH PARTNERS
6D059CROtherBLUE CROSS BLUE SHIELD
669000008Medicare ID - Type Unspecified