Provider Demographics
NPI:1750449617
Name:MURPHY, TERRI LEE (DO)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:LEE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:135 JACKSON RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-9231
Mailing Address - Country:US
Mailing Address - Phone:609-654-9961
Mailing Address - Fax:609-654-6118
Practice Address - Street 1:135 JACKSON RD
Practice Address - Street 2:SUITE B
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-9231
Practice Address - Country:US
Practice Address - Phone:609-654-9961
Practice Address - Fax:609-654-6118
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB06896700208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics