MEDICARE: STEPHEN C MURPHY PA-C

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	363A00000X	Physician Assistant	000831	CT
2	363AS0400X	Surgical Physician Assistant	000831	CT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	970028546	OTHER	CT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	290001281CT01	OTHER	CT	ANTHEM BCBS

General Provider Information

NPI Number	:	1902879315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN C MURPHY PA-C

Provider Business Mailing Address
First Line	:	6 GREENWICH OFFICE PARK
Second Line	:
City	:	GREENWICH
State	:	CT
Zip	:	06831-5151
Country	:	US
Telephone Number	:	203-869-1145
Fax Number	:	203-629-7606

Provider Business Practice Location Address
First Line	:	107 HORSE FENCE HILL RD
Second Line	:
City	:	SOUTHBURY
State	:	CT
Zip	:	06488-2106
Country	:	US
Telephone Number	:	877-872-5788
Fax Number	:

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

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	11/01/2017

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Directions to “ STEPHEN C MURPHY PA-C” Practice Location

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