Provider Demographics
NPI:1518189919
Name:TERENCE W MURPHY MD PA
Entity Type:Organization
Organization Name:TERENCE W MURPHY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:W
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-381-0376
Mailing Address - Street 1:PO BOX 48284
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07101-4884
Mailing Address - Country:US
Mailing Address - Phone:201-307-0014
Mailing Address - Fax:201-307-1119
Practice Address - Street 1:1 GREENTREE CTR
Practice Address - Street 2:SUITE 301
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:201-307-0014
Practice Address - Fax:201-307-1119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ048406Medicare ID - Type UnspecifiedGROUP MEDICARE PROVIDER N