MEDICARE: TIMOTHY P 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	207R00000X	Internal Medicine Physician	156870	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	A29270	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	6026608	OTHER	CIGNA HEALTH CARE
2	J19188	OTHER	BLUE SHIELD-INDEMNITY
4	J19188	OTHER	HMO BLUE/BLUE CHOICE
5	68521	OTHER	HARVARD PILGRIM POS
6	68521	OTHER	HARVARD PILGRIM PPO
7	792377	OTHER	TUFTS
8	792377	OTHER	TUFTS COMMONWEALTH PPO
9	792377	OTHER	TUFTS TOTAL HEALTH PLAN
10	68521	OTHER	HARVARD/PILGRIM
11	792377	OTHER	TUFTS BENEFIT ADMIN

General Provider Information

NPI Number	:	1780681312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY P MURPHY MD

Provider Business Mailing Address
First Line	:	PO BOX 6300
Second Line	:
City	:	PROVIDENCE
State	:	RI
Zip	:	02940-6300
Country	:	US
Telephone Number	:	401-274-0103
Fax Number	:

Provider Business Practice Location Address
First Line	:	56 COLPITTS RD
Second Line	:
City	:	WESTON
State	:	MA
Zip	:	02493-1568
Country	:	US
Telephone Number	:	781-891-0906
Fax Number	:	781-891-0912

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

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	02/08/2010

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Directions to “ TIMOTHY P MURPHY MD” Practice Location

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