Provider Demographics
NPI:1821069634
Name:MURPHY, MARTIN J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:J
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 WILE ST
Mailing Address - Street 2:STE 6A
Mailing Address - City:LA PORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350
Mailing Address - Country:US
Mailing Address - Phone:219-325-3658
Mailing Address - Fax:219-325-0348
Practice Address - Street 1:300 WILE ST
Practice Address - Street 2:STE 6A
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350
Practice Address - Country:US
Practice Address - Phone:219-325-3658
Practice Address - Fax:219-325-0348
Is Sole Proprietor?:No
Enumeration Date:2006-01-30
Last Update Date:2012-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN010380632084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology