Healthcare Provider Details

I. General information

NPI: 1669877635
Provider Name (Legal Business Name): MURPHY MEDICAL ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2014
Last Update Date: 07/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 E PUTNAM AVE
GREENWICH CT
06830
US

IV. Provider business mailing address

1 E PUTNAM AVE
GREENWICH CT
06830-5429
US

V. Phone/Fax

Practice location:
  • Phone: 203-554-8166
  • Fax:
Mailing address:
  • Phone: 203-658-6051
  • Fax: 203-658-6051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number044806
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number044806
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN MURPHY
Title or Position: OWNER
Credential: M.D.
Phone: 203-554-8166