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Individual

MR. TIMOTHY L. MURRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6250
Mailing address
340 GROVE ST, 3A, JERSEY CITY, NJ 07302-5905
(704) 905-5611

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
086637
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8050924
NC
Enumeration date
07/12/2006
Last updated
06/25/2012
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