Provider Demographics
NPI:1376518035
Name:MURRAY, PAUL BERNARD (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:BERNARD
Last Name:MURRAY
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 1:1000 ASYLUM AVE
Mailing Address - Street 2:STE 3220
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105
Mailing Address - Country:US
Mailing Address - Phone:860-247-3279
Mailing Address - Fax:860-727-9540
Practice Address - Street 1:1000 ASYLUM AVE
Practice Address - Street 2:STE 3220
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105
Practice Address - Country:US
Practice Address - Phone:860-247-3279
Practice Address - Fax:860-727-9540
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT032990207XS0114X, 207XX0801X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001329904Medicaid
IP0580OtherHEALTHNET
CT010032990CT01OtherBCBS
F30473Medicare UPIN
CT200001026Medicare ID - Type Unspecified