Provider Demographics
NPI:1639324072
Name:MUROV, ROSLYN GAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSLYN
Middle Name:GAIL
Last Name:MUROV
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:75 BICKFORD STREET
Mailing Address - Street 2:MARTHA ELIOT HEALTH CENTER
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130
Mailing Address - Country:US
Mailing Address - Phone:617-919-4432
Mailing Address - Fax:617-971-2314
Practice Address - Street 1:75 BICKFORD STREET
Practice Address - Street 2:MARTHA ELIOT HEALTH CENTER
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130
Practice Address - Country:US
Practice Address - Phone:617-919-4432
Practice Address - Fax:617-971-2314
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2011-04-11
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Provider Licenses
StateLicense IDTaxonomies
NY180912-1208000000X
MA50978208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics