Healthcare Provider Details

I. General information

NPI: 1437157237
Provider Name (Legal Business Name): MARY JOSEPHINE MURPHY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1631 ELYSIAN FIELDS AVE
NEW ORLEANS LA
70117-8208
US

IV. Provider business mailing address

1631 ELYSIAN FIELDS AVE
NEW ORLEANS LA
70117-8208
US

V. Phone/Fax

Practice location:
  • Phone: 504-821-2601
  • Fax: 504-814-6047
Mailing address:
  • Phone: 504-821-2601
  • Fax: 504-814-6047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number11639R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: