Provider Demographics
NPI:1740516707
Name:MURPHY, JULIANNE MARIE (MSOM)
Entity type:Individual
Prefix:
First Name:JULIANNE
Middle Name:MARIE
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 LAWSON RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-3153
Mailing Address - Country:US
Mailing Address - Phone:505-660-3234
Mailing Address - Fax:
Practice Address - Street 1:93 LAWSON RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-3153
Practice Address - Country:US
Practice Address - Phone:505-660-3234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-27
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA242485171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist