Provider Demographics
NPI:1871505867
Name:MURPHY, S. DEBORAH (MD)
Entity Type:Individual
Prefix:
First Name:S.
Middle Name:DEBORAH
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:DEBORAH
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:450 VETERANS MEMORIAL PARKWAY
Mailing Address - Street 2:SUITE 504
Mailing Address - City:EAST PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02914
Mailing Address - Country:US
Mailing Address - Phone:401-431-1119
Mailing Address - Fax:401-431-1125
Practice Address - Street 1:450 VETERANS MEMORIAL PARKWAY
Practice Address - Street 2:SUITE 504
Practice Address - City:EAST PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02914
Practice Address - Country:US
Practice Address - Phone:401-431-1119
Practice Address - Fax:401-431-1125
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD5551207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI08-00118OtherUNITED HEALTHCARE
RI967-4OtherBLUE SHIELD
RIB76305Medicare UPIN
RI08-00118OtherUNITED HEALTHCARE