Individual
CHRISTOPHER B MURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
1250 FOREST AVE, SUITE 301, PORTLAND, ME 04103-1884
(207) 797-5753
(207) 878-1715
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207YS0012X
Sleep Medicine (Otolaryngology) Physician
1526
ME
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
1526
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018247
ANTHEM
ME
01
—
1044199
AETNA
ME
05
—
338000099
—
ME
01
—
AX6996
MEDICARE PTAN GRP 152556
ME
01
—
G02574
HARVARD PILGRIM
ME
01
—
HX1691
MEDICARE PTAN GRP MM8648
ME
Enumeration date
10/12/2005
Last updated
04/13/2012
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