Basic Information
Provider Information
NPI: 1548314263
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: RYAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 70 TROUTBROOD ROAD
Address2:  
City: CHESHIRE
State: CT
PostalCode: 06410
CountryCode: US
TelephoneNumber: 2034390914
FaxNumber:  
Practice Location
Address1: 1450 CHAPEL ST
Address2:  
City: NEW HAVEN
State: CT
PostalCode: 065114405
CountryCode: US
TelephoneNumber: 2037893464
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/22/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X043184CTY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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