Basic Information
| Provider Information | |||||||||
| NPI: | 1306377163 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | MUR | ||||||||
| FirstName: | TAHA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 820 HARRISON AVE | ||||||||
| Address2: | FGH BUILDING, 4TH FLOOR | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02118 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | ONE BOSTON MEDICAL CENTER PLACE | ||||||||
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| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6176388000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/23/2017 | ||||||||
| LastUpdateDate: | 08/03/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | 271662 | MA | Y | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.