Provider Demographics
NPI:1699835199
Name:MURPHY, ROBERT M (ND)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:MURPHY
Suffix:
Gender:M
Credentials:ND
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Mailing Address - Street 1:21 PROSPECT ST SUITE A
Mailing Address - Street 2:ROBERT M MURPHY ND
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790
Mailing Address - Country:US
Mailing Address - Phone:860-482-4730
Mailing Address - Fax:860-482-9034
Practice Address - Street 1:21 PROSPECT ST SUITE A
Practice Address - Street 2:ROBERT M MURPHY ND
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790
Practice Address - Country:US
Practice Address - Phone:860-482-4730
Practice Address - Fax:860-482-9034
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CTR24843163W00000X
CT000065175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT00421583700Medicaid