Provider Demographics
NPI:1316547052
Name:MURPHY, PRESCOTT VEERE IV
Entity Type:Individual
Prefix:MR
First Name:PRESCOTT
Middle Name:VEERE
Last Name:MURPHY
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 LONGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3851
Mailing Address - Country:US
Mailing Address - Phone:908-342-2027
Mailing Address - Fax:
Practice Address - Street 1:232 LONGWOOD DR
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3851
Practice Address - Country:US
Practice Address - Phone:908-342-2027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT01383300225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist