Healthcare Provider Details
I. General information
NPI: 1427491190
Provider Name (Legal Business Name): KATHERINE BERING MURRAY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/12/2013
Last Update Date: 08/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
633 WEST LANCASTER AVENUE
BRYN MAWR PA
19010
US
IV. Provider business mailing address
633 WEST LANCASTER AVENUE
BRYN MAWR PA
19010
US
V. Phone/Fax
- Phone: 610-658-0999
- Fax: 610-658-1998
- Phone: 610-658-0999
- Fax: 610-658-1998
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | MD457927 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: