Provider Demographics
NPI:1376827337
Name:ARLENE L MURRAY, MD PA
Entity Type:Organization
Organization Name:ARLENE L MURRAY, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-341-6200
Mailing Address - Street 1:12975 HIGHLAND RD
Mailing Address - Street 2:SUITE #136
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5380
Mailing Address - Country:US
Mailing Address - Phone:301-341-6200
Mailing Address - Fax:301-341-6428
Practice Address - Street 1:1100 MERCANTILE LN
Practice Address - Street 2:SUITE #136
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5380
Practice Address - Country:US
Practice Address - Phone:301-341-6200
Practice Address - Fax:301-341-6428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-07
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD38410207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC230285Medicare PIN