MEDICARE: SHARON MURPHY, M.D. L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	D15493	MD

General Provider Information

NPI Number	:	1598147829
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARON MURPHY, M.D. L.L.C.

Provider Business Mailing Address
First Line	:	3448 ELLICOTT CENTER DR
Second Line	:	SUITE 102
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-4171
Country	:	US
Telephone Number	:	410-772-0255
Fax Number	:	410-772-0243

Provider Business Practice Location Address
First Line	:	3448 ELLICOTT CENTER DR
Second Line	:	SUITE 102
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-4171
Country	:	US
Telephone Number	:	410-772-0255
Fax Number	:	410-772-0243

Authorized Official
Title or Position	:	ONE MAN PROPRIETOR
Name	:	SHARON MURPHY
Credential	:	M.D.
Telephone Number	:	410-772-0255

Provider Enumeration Date	:	06/23/2015
Last Update Date	:	06/24/2015

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