Provider Demographics
NPI:1326077892
Name:MURPHY, JOHN F IV (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:MURPHY
Suffix:IV
Gender:M
Credentials:MD
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Mailing Address - Street 1:455 TOLL GATE RD
Mailing Address - Street 2:AMBULATORY SERVICES PAVILION
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:401-681-4996
Mailing Address - Fax:401-921-6569
Practice Address - Street 1:390 TOLL GATE RD
Practice Address - Street 2:SUITE 205
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4488
Practice Address - Country:US
Practice Address - Phone:401-681-4996
Practice Address - Fax:401-921-6569
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2022-12-19
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Provider Licenses
StateLicense IDTaxonomies
RIMD09415207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7006091Medicaid
RI7006091Medicaid
RIG58862Medicare UPIN