Provider Demographics
NPI:1700829652
Name:MULROY, RICHARD DONOVAN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:DONOVAN
Last Name:MULROY
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 189
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-0189
Mailing Address - Country:US
Mailing Address - Phone:508-478-7135
Mailing Address - Fax:508-473-7198
Practice Address - Street 1:321 FORTUNE BLVD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-1750
Practice Address - Country:US
Practice Address - Phone:508-478-7135
Practice Address - Fax:508-473-7198
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA50118207X00000X, 207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Not Answered207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA17329OtherHARVARD PILGRIM
MA14205OtherFALLON
MA0011862OtherNEIGHBORHOOD HEALTH PLAN
MA0127981OtherCIGNA HEALTHCARE
MA3018172Medicaid
MA717422OtherTUFTS
MAJ02283OtherBLUE CROSS BLUE SHIELD
MA3627562OtherAETNA
MA17329OtherHARVARD PILGRIM
MA3627562OtherAETNA