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Provider Information for 1104263565

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. CRAIG MUNRO BIRCH M.D.

Gender: MALE

Individual NPI: 1104263565

Calendar   Last Updated:  2021-02-03
  Certification Date:  2021-02-03

Details

Name Value
NPI 1104263565
Enumeration Date 2013-05-25
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 300 LONGWOOD AVE
BOSTON, MA 02115-5724
United States

Phone: 617-355-6000 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE
BOSTON, MA 02115
United States

Phone: 617-355-6000 | Fax:
View Map External Link
Secondary Practice Address 55 SPRING ST
SCARBOROUGH, ME 04074-8926
United States

Phone: 207-396-7337 | Fax:
View Map External Link

1 MEDICAL CENTER DR
LEBANON, NH 03756-0001
United States

Phone: 603-650-5133 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207XP3100X - Orthopaedic Surgery Pediatric Orthopaedic Surgery MA 275087
No 207X00000X - Orthopaedic Surgery ME MD24228
No 207XP3100X - Orthopaedic Surgery Pediatric Orthopaedic Surgery NH 19947