Provider Demographics
NPI:1750369815
Name:MURPHY, ALAN R (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:R
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALAN
Other - Middle Name:R
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:M D, PC
Mailing Address - Street 1:95 TREMONT ST
Mailing Address - Street 2:SUITE 15
Mailing Address - City:DUXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02332-4738
Mailing Address - Country:US
Mailing Address - Phone:781-934-7988
Mailing Address - Fax:781-934-7989
Practice Address - Street 1:95 TREMONT ST
Practice Address - Street 2:SUITE 15
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-4738
Practice Address - Country:US
Practice Address - Phone:781-934-7988
Practice Address - Fax:781-934-7989
Is Sole Proprietor?:No
Enumeration Date:2006-01-08
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA158790207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA140006386OtherRAILROAD MEDICARE
MA710225OtherTUFTS
MA496390OtherCIGNA
MA06-00067OtherUNITED HEALTHCARE
MA103276700OtherUS DEPT OF LABOR
MA807962OtherHARVARD PILGRIM
MAJ21536OtherBLUE CROSS/BLUE SHIELD
MA110061665AMedicaid
MA103276700OtherUS DEPT OF LABOR
MA710225OtherTUFTS