Provider Demographics
NPI:1932798493
Name:MURPHY, TIMOTHY QUINLAN
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:QUINLAN
Last Name:MURPHY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 ROUTE 206 STE 9
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08088-3558
Mailing Address - Country:US
Mailing Address - Phone:609-670-5194
Mailing Address - Fax:609-859-5636
Practice Address - Street 1:1805 ROUTE 206 STE 9
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08088-3558
Practice Address - Country:US
Practice Address - Phone:609-670-5194
Practice Address - Fax:609-859-5636
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-11
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02380500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist