Provider Demographics
NPI:1558690222
Name:MURPHY, JEFFREY ROBERT (OPTICIAN-HEARING AID)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:ROBERT
Last Name:MURPHY
Suffix:
Gender:M
Credentials:OPTICIAN-HEARING AID
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 311
Mailing Address - Street 2:610 WASHINGTON ST.
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-0484
Mailing Address - Country:US
Mailing Address - Phone:781-826-4656
Mailing Address - Fax:781-826-6100
Practice Address - Street 1:610 WASHINGTON ST
Practice Address - Street 2:PEMBROKE EYE & EAR CARE CENTER
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-0484
Practice Address - Country:US
Practice Address - Phone:781-826-4656
Practice Address - Fax:781-826-6100
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA#134332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment