Provider Demographics
NPI:1114987377
Name:MURCIA, ALEJANDRO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEJANDRO
Middle Name:
Last Name:MURCIA
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:PO BOX 1685
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06045-1685
Mailing Address - Country:US
Mailing Address - Phone:860-430-1213
Mailing Address - Fax:860-533-3420
Practice Address - Street 1:483 W MIDDLE TPKE
Practice Address - Street 2:SUITE 300
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-3863
Practice Address - Country:US
Practice Address - Phone:860-430-1213
Practice Address - Fax:860-533-3420
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT20627207RI0200X
DCMD7723207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001206275Medicaid
110000920Medicare ID - Type Unspecified
CT001206275Medicaid