Basic Information
Provider Information
NPI: 1760631477
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: ALANA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 833 CHESTNUT ST STE 703
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191074409
CountryCode: US
TelephoneNumber: 2159551000
FaxNumber: 2159232275
Practice Location
Address1: 833 CHESTNUT ST STE 703
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191074409
CountryCode: US
TelephoneNumber: 2159551000
FaxNumber: 2159232275
Other Information
ProviderEnumerationDate: 09/17/2008
LastUpdateDate: 12/31/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208800000X241879NYN Allopathic & Osteopathic PhysiciansUrology 
208800000XMD446803PAN Allopathic & Osteopathic PhysiciansUrology 
2088F0040XMD446803PAY Allopathic & Osteopathic PhysiciansUrologyFemale Pelvic Medicine and Reconstructive Surgery

ID Information
IDTypeStateIssuerDescription
10276385105PA MEDICAID
031046805NJ MEDICAID


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