Provider Demographics
NPI:1831103571
Name:MURRAY, CHRISTINE ADRIENNE (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ADRIENNE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 WESTVIEW ROAD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-8024
Mailing Address - Country:US
Mailing Address - Phone:802-655-8888
Mailing Address - Fax:802-985-2566
Practice Address - Street 1:105 WESTVIEW ROAD
Practice Address - Street 2:SUITE 302
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-8024
Practice Address - Country:US
Practice Address - Phone:802-655-8888
Practice Address - Fax:802-985-2566
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0009874207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0VN2039Medicaid
NY01868840OtherNY MEDICAID
NY01868840OtherNY MEDICAID
VTG61060Medicare UPIN
VTY400155698Medicare PIN