Provider Demographics
NPI:1972658896
Name:MURRAY, ELRICK A (MD)
Entity Type:Individual
Prefix:
First Name:ELRICK
Middle Name:A
Last Name:MURRAY
Suffix:
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 1:1314 PARK AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-3253
Mailing Address - Country:US
Mailing Address - Phone:908-753-0440
Mailing Address - Fax:908-753-5107
Practice Address - Street 1:1314 PARK AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-3253
Practice Address - Country:US
Practice Address - Phone:908-753-0440
Practice Address - Fax:908-753-5107
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04576700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0156001Medicaid
NJ0156001Medicaid
NJ631040Medicare ID - Type Unspecified