Provider Demographics
NPI:1932152493
Name:WERZBERGER, MURRAY JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:JOSEPH
Last Name:WERZBERGER
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 1:2044 OCEAN AVE
Mailing Address - Street 2:SUITE A6
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-7328
Mailing Address - Country:US
Mailing Address - Phone:718-998-2222
Mailing Address - Fax:718-998-2693
Practice Address - Street 1:2044 OCEAN AVE
Practice Address - Street 2:SUITE A6
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7328
Practice Address - Country:US
Practice Address - Phone:718-998-2222
Practice Address - Fax:718-998-2693
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY177645207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01396890Medicaid
NYE87249Medicare UPIN
NY01396890Medicaid