1487609897 NPI number — MR. MURRAY L JANOWER M.D.

Table of content: MR. MURRAY L JANOWER M.D. (NPI 1487609897)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487609897 NPI number — MR. MURRAY L JANOWER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JANOWER
Provider First Name:
MURRAY
Provider Middle Name:
L
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1487609897
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/15/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1045
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WORCESTER
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01613-1045
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
978-939-2035
Provider Business Mailing Address Fax Number:
978-939-2035

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14 RICE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPLETON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01468-1332
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-939-2035
Provider Business Practice Location Address Fax Number:
978-939-2039
Provider Enumeration Date:
05/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2085R0202X , with the licence number:  27386 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0142824 , issued by the state of ( MA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 72321 . This is a "CIGNA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: M06143 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 042477296 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0007041 . This is a "NEIGHBORHOOD HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 027386 . This is a "TUFTS HEALTH PLAN" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 8000 . This is a "FALLON COMMUNITY HEALTH P" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 0142824 . This is a "HEALTHY START" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 24938 . This is a "HARVARD PILGRIM HEALTH CA" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 300041878 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 042477296 . This is a "HEALTH CARE VALUE MANAGEM" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 40207 . This is a "HEALTH NEW ENGLAND" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".
  • Identifier: 042477296 . This is a "PRIVATE HEALTH CARE SYSTE" identifier , issued by the state of ( MA ) . This identifiers is of the category "OTHER".




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