Provider Demographics
NPI:1235186933
Name:MURCIA, EVA S (MD)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:S
Last Name:MURCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 CARTER ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-6822
Mailing Address - Country:US
Mailing Address - Phone:860-528-5068
Mailing Address - Fax:
Practice Address - Street 1:555 MAIN ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-5196
Practice Address - Country:US
Practice Address - Phone:860-643-5218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT018153207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT00118153604OtherBLUE CARE FAMILY PLAN
CT010018153CT03OtherBLUE CROSS
CT010018153CT04OtherBLUE CROSS
CT010018153CT01OtherBLUE CROSS
CT00118153601OtherBLUE CARE FAMILY PLAN
CT00118153600OtherBLUE CARE FAMILY PLAN
CT00118153602OtherBLUE CARE FAMILY PLAN
CT010018153CT02OtherBLUE CROSS
CT00118153602OtherBLUE CARE FAMILY PLAN