MEDICARE: DR. MICHAEL DESMOND MURPHY MD

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	30548	MA

General Provider Information

NPI Number	:	1497774418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DESMOND MURPHY MD

Provider Business Mailing Address
First Line	:	PO BOX 9142
Second Line	:	MASS GENERAL PHYSICIAN ORGANIZATION
City	:	CHARLESTOWN
State	:	MA
Zip	:	02129-9142
Country	:	US
Telephone Number	:	617-724-0287
Fax Number	:	617-726-2894

Provider Business Practice Location Address
First Line	:	950 HALE STREET
Second Line	:
City	:	BEVERLY FARMS
State	:	MA
Zip	:	01915
Country	:	US
Telephone Number	:	978-927-8016
Fax Number	:	978-927-2381

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

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	07/08/2007

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