Provider Demographics
NPI:1073835377
Name:CENTER FOR SENIOR WELLNESS, FRANCIS R. MURPHY, M.D., LLC
Entity Type:Organization
Organization Name:CENTER FOR SENIOR WELLNESS, FRANCIS R. MURPHY, M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-654-0054
Mailing Address - Street 1:6 CAMERON LN
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-5230
Mailing Address - Country:US
Mailing Address - Phone:609-654-0054
Mailing Address - Fax:609-288-6784
Practice Address - Street 1:105 ATSION RD UNIT H
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-1352
Practice Address - Country:US
Practice Address - Phone:609-654-0054
Practice Address - Fax:609-288-6784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-27
Last Update Date:2013-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA0574472084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ062956Medicare PIN
NJF34340Medicare UPIN