MEDICARE: PATRICK AIDAN MURPHY M.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	207RI0200X	Infectious Disease Physician	D13688	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790737138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK AIDAN MURPHY M.D.

Provider Business Mailing Address
First Line	:	57 BLENHEIM FARM LN
Second Line	:
City	:	PHOENIX
State	:	MD
Zip	:	21131-2136
Country	:	US
Telephone Number	:	410-592-7667
Fax Number	:

Provider Business Practice Location Address
First Line	:	57 BLENHEIM FARM LN
Second Line	:
City	:	PHOENIX
State	:	MD
Zip	:	21131-2136
Country	:	US
Telephone Number	:	410-592-7667
Fax Number	:

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	04/22/2010

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