Healthcare Provider Details

I. General information

NPI: 1134321805
Provider Name (Legal Business Name): MURRAY W SEITCHIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

735 ASHBOURNE RD
ELKINS PARK PA
19027-2518
US

IV. Provider business mailing address

735 ASHBOURNE RD
ELKINS PARK PA
19027-2518
US

V. Phone/Fax

Practice location:
  • Phone: 215-635-3743
  • Fax: 215-635-3377
Mailing address:
  • Phone: 215-635-3743
  • Fax: 215-635-3377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD023529L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: