Provider Demographics
NPI:1376622704
Name:MURRAY, ARLENE LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:LOUISE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12975 HIGHLAND RD UNIT 609
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20777-7520
Mailing Address - Country:US
Mailing Address - Phone:301-341-6200
Mailing Address - Fax:
Practice Address - Street 1:7404 EXECUTIVE PL STE 104
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-6243
Practice Address - Country:US
Practice Address - Phone:301-341-6200
Practice Address - Fax:301-341-6428
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-05
Last Update Date:2021-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD38410207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
174978Medicare PIN
MDC88268Medicare UPIN