Provider Demographics
NPI:1942270368
Name:CLIFFORD-MURPHY, JANINE (RD)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:
Last Name:CLIFFORD-MURPHY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-3628
Mailing Address - Country:US
Mailing Address - Phone:617-629-6444
Mailing Address - Fax:617-629-6070
Practice Address - Street 1:291 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-3628
Practice Address - Country:US
Practice Address - Phone:617-629-6444
Practice Address - Fax:617-629-6070
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1757133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0035311OtherNEIGHBORHOOD HEALTH PLAN
MA680078OtherTUFTS HEALTH PLAN
MAAA36169OtherHARVARD PILGRIM
MALD0180OtherBLUE CROSS
MAAA36169OtherHARVARD PILGRIM