Basic Information
Provider Information
NPI: 1972516870
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORRISON
FirstName: MURRAY
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 75 KINGS HIGHWAY CUTOFF
Address2: ORTHOPAEDIC SPECIALTY GROUP
City: FAIRFIELD
State: CT
PostalCode: 068245340
CountryCode: US
TelephoneNumber: 2033371900
FaxNumber:  
Practice Location
Address1: 75 KINGS HIGHWAY CUTOFF
Address2: ORTHOPAEDIC SPECIALTY GROUP
City: FAIRFIELD
State: CT
PostalCode: 068245340
CountryCode: US
TelephoneNumber: 2033372600
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/14/2006
LastUpdateDate: 10/10/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X014429CTY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

ID Information
IDTypeStateIssuerDescription
843551 (2) (3)01CTEMPIREOTHER
TIN01 UNITED HEALTHCAREOTHER
00114429405CT MEDICAID
TIN01 NORTHEAST HEALTH DIRECTOTHER
TIN01 CIGNAOTHER
00051901CTHEALTH NETOTHER
TIN01 FIRST HEALTH/CCNOTHER
TIN01 CORVELOTHER
010014429CT0101CTANTHEM BC/BSOTHER
TIN01 PIONEEROTHER
TIN01 ORTHONETOTHER
008520501CTAETNAOTHER
TIN01 GREAT WESTOTHER
51442901CTCONNECTICAREOTHER
TIN01 NEHCA HMC/PPOOTHER
TIN01 POMCOOTHER
TIN01 NATIONALPROVIDER NETWORKOTHER
ZS30701CTOXFORD HEALTH PLANOTHER


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