Provider Demographics
NPI:1427062843
Name:MURPHY, PETER JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:JOSEPH
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PHILADELPHIA AVE
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08215-1444
Mailing Address - Country:US
Mailing Address - Phone:609-272-1150
Mailing Address - Fax:609-965-7278
Practice Address - Street 1:1701 NEW RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1197
Practice Address - Country:US
Practice Address - Phone:609-272-1150
Practice Address - Fax:609-965-7278
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04440111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U56135Medicare UPIN
NJMU661835Medicare ID - Type Unspecified