Basic Information
| Provider Information | |||||||||
| NPI: | 1679537567 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MURPHY | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO, LPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 176 S. NEW MIDDLETOWN ROAD | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | MEDIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108927344 | ||||||||
| FaxNumber: | 6108927304 | ||||||||
| Practice Location | |||||||||
| Address1: | 176 S. NEW MIDDLETOWN ROAD | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | MEDIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108927344 | ||||||||
| FaxNumber: | 6108927304 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2006 | ||||||||
| LastUpdateDate: | 10/15/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2081S0010X | OS007485L | PA | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Sports Medicine |
ID Information
| ID | Type | State | Issuer | Description | 01414423 | 05 | PA | MEDICAID |