Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | CT029734 | CT |
NPI | 1508861279 |
---|---|
Provider Name | Dr. John Matthew Murphy |
First Address | Danbury, CT 06810-4004 |
Second Address | Danbury, CT 06810-4004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010029734CT01 | ANTHEM (01) | CT |
1297341 | (05) | CT |
D99747 | (02) | CT |