Provider Demographics
NPI:1407127319
Name:MURRIN, FRANK J JR
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:J
Last Name:MURRIN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 HADDON AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:COLLINGSWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-2101
Mailing Address - Country:US
Mailing Address - Phone:856-858-0772
Mailing Address - Fax:856-854-3585
Practice Address - Street 1:900 HADDON AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:COLLINGSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08108-2101
Practice Address - Country:US
Practice Address - Phone:856-858-0772
Practice Address - Fax:856-854-3585
Is Sole Proprietor?:No
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ31TD00105300156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician