Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 042.0013594 | VT |
N | 2086S0120X | Pediatric Surgery | 78174 | ZZ |
NPI | 1548619901 |
---|---|
Provider Name | Dr. James J. Murphy III |
First Address | Burlington, VT 05401 |
Second Address | Burlington, VT 05401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2016 |
Last Update Date | 08/09/2016 |