Provider Demographics
NPI:1366609315
Name:MURPHY, DESTINY NEMETH (DO)
Entity type:Individual
Prefix:
First Name:DESTINY
Middle Name:NEMETH
Last Name:MURPHY
Suffix:
Gender:F
Credentials:DO
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:130 GASTON ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-1222
Mailing Address - Country:US
Mailing Address - Phone:419-565-7871
Mailing Address - Fax:
Practice Address - Street 1:166 SOUTH ST
Practice Address - Street 2:STROKE AND BRAIN INJURY REHABILITATION, INC.
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-5402
Practice Address - Country:US
Practice Address - Phone:508-842-3935
Practice Address - Fax:508-842-3927
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2014-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA2390212084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAS400123378Medicare PIN