MEDICARE: ELAINE C MURPHY M.S., R.D.

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	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1124221841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE C MURPHY M.S., R.D.

Provider Business Mailing Address
First Line	:	350 FOREST ST
Second Line	:
City	:	KEARNY
State	:	NJ
Zip	:	07032-3533
Country	:	US
Telephone Number	:	201-997-8595
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 FOREST ST
Second Line	:
City	:	KEARNY
State	:	NJ
Zip	:	07032-3533
Country	:	US
Telephone Number	:	201-997-8595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	07/08/2007

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