Provider Demographics
NPI:1699425199
Name:MURTHA, GREGORY THOMAS (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:THOMAS
Last Name:MURTHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4703
Mailing Address - Country:US
Mailing Address - Phone:408-644-1266
Mailing Address - Fax:
Practice Address - Street 1:7703 FLOYD CURL DR # MC7843
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:408-644-1266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-27
Last Update Date:2022-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program