Provider Demographics
NPI:1942282306
Name:MURILLO, NARCISA E (MD)
Entity Type:Individual
Prefix:DR
First Name:NARCISA
Middle Name:E
Last Name:MURILLO
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 1:463 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-3227
Mailing Address - Country:US
Mailing Address - Phone:973-546-2400
Mailing Address - Fax:973-546-2441
Practice Address - Street 1:463 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-3227
Practice Address - Country:US
Practice Address - Phone:973-546-2400
Practice Address - Fax:973-546-2441
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07258500207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ388AY1OtherEMPIRE BCBS
NJP2899422OtherOXFORD
NJ3K3250OtherHEALTH NET
NJ7048502OtherAETNA
NJ204363799OtherHORIZON
NJP3729876OtherCIGNA
NJ8778423210OtherUNITED HEALTHCARE
NJ9121404Medicaid
NJP2899422OtherOXFORD
NJP3729876OtherCIGNA