Provider Demographics
NPI:1992013403
Name:J. EVANS MURAGE, MD, PC
Entity Type:Organization
Organization Name:J. EVANS MURAGE, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULENE
Authorized Official - Middle Name:OPALENE
Authorized Official - Last Name:EVANS MURAGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-585-9901
Mailing Address - Street 1:1301 WHITEHORSE MERCERVILLE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3826
Mailing Address - Country:US
Mailing Address - Phone:609-585-9901
Mailing Address - Fax:609-585-9919
Practice Address - Street 1:1301 WHITEHORSE MERCERVILLE RD STE 201
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3826
Practice Address - Country:US
Practice Address - Phone:609-585-9901
Practice Address - Fax:609-585-9919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA66513207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG61926Medicare UPIN