Basic Information
| Provider Information | |||||||||
| NPI: | 1639319189 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | J. TIMOTHY MURPHY, MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 165 ROWLAND WAY | ||||||||
| Address2: | SUITE 215 | ||||||||
| City: | NOVATO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 949455038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4158975171 | ||||||||
| FaxNumber: | 4158921611 | ||||||||
| Practice Location | |||||||||
| Address1: | 165 ROWLAND WAY | ||||||||
| Address2: | SUITE 215 | ||||||||
| City: | NOVATO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 949455038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4158975171 | ||||||||
| FaxNumber: | 4158921611 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/24/2009 | ||||||||
| LastUpdateDate: | 02/24/2009 | ||||||||
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| AuthorizedOfficialLastName: | PERRYMAN | ||||||||
| AuthorizedOfficialFirstName: | SHEILA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OFFICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 4158975171 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | G036133 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.