Provider Demographics
NPI:1053468454
Name:MURPHY, MARJORIE A (MD)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:A
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:ONE HOPPIN STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4141
Mailing Address - Country:US
Mailing Address - Phone:401-831-4592
Mailing Address - Fax:401-831-4643
Practice Address - Street 1:ONE HOPPIN STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4141
Practice Address - Country:US
Practice Address - Phone:401-831-4592
Practice Address - Fax:401-831-4643
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2008-06-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RI09427207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI10050OtherNEIGHBORHOOD HEALTH PLAN OF RI
RI25601OtherBCBS OF RI
RI9025601Medicaid
RI151501OtherHARVARD PILGRIM HEALTHCARE
RI401647OtherBCBS - BLUE CHIP
RIF43238Medicare UPIN
RI9025601Medicaid