Basic Information
Provider Information
NPI: 1326169475
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: RAYMOND L
MiddleName: H
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: FAULKNER HOSPITAL
Address2: 1153 CENTRE STREET
City: JAMAICA PLAIN
State: MA
PostalCode: 02130
CountryCode: US
TelephoneNumber: 6175225800
FaxNumber:  
Practice Location
Address1: FAULKNER HOSPITAL
Address2: 1153 CENTRE STREET
City: JAMAICA PLAIN
State: MA
PostalCode: 02130
CountryCode: US
TelephoneNumber: 6175225800
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/03/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RP1001X28072MAY Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease

No ID Information.


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