Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 217373 | MA |
Y | 2080P0204X | Pediatric Emergency Doctor | 217373 | MA |
NPI | 1083672109 |
---|---|
Provider Name | Dr. Charles G Murphy |
First Address | Framingham, MA 01702-6358 |
Second Address | Framingham, MA 01702-6358 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 09/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02738558 | (05) | NY |
2100754 | (05) | MA |
I26921 | (02) |