Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 25MA10599900 | NJ |
NPI | 1083939573 |
---|---|
Provider Name | Jennifer M Murphy |
First Address | Boston, MA 02241-6457 |
Second Address | Morristown, NJ 07960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2010 |
Last Update Date | 23/08/2019 |