Provider Demographics
NPI:1447241906
Name:MURRAY, CARL LOUIS JR (MD)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:LOUIS
Last Name:MURRAY
Suffix:JR
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 1:3897 HIGHWAY 516
Mailing Address - Street 2:SUITE 2C
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2499
Mailing Address - Country:US
Mailing Address - Phone:732-679-1111
Mailing Address - Fax:732-394-6436
Practice Address - Street 1:3897 HIGHWAY 516
Practice Address - Street 2:SUITE 2C
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2499
Practice Address - Country:US
Practice Address - Phone:732-679-1111
Practice Address - Fax:732-394-6436
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA38844207RX0202X
NJMA038844207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1827201Medicaid
NJD19723Medicare UPIN
NJMU424375Medicare ID - Type Unspecified