Provider Demographics
NPI:1417980236
Name:MURFIN, CAROL PIETROMONACO (PT)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:PIETROMONACO
Last Name:MURFIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:CAROL
Other - Middle Name:MARIE
Other - Last Name:PIETROMONACO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:42 NELSON ST
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-6331
Mailing Address - Country:US
Mailing Address - Phone:617-571-7323
Mailing Address - Fax:
Practice Address - Street 1:42 NELSON ST
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-6331
Practice Address - Country:US
Practice Address - Phone:617-571-7323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11893225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY67708OtherBC PROVIDER #
MAY69140Medicare ID - Type UnspecifiedMEDICARE PROVIDER #