Healthcare Provider Details

I. General information

NPI: 1265612717
Provider Name (Legal Business Name): PATRICK MURPHY DO PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2007
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1194 NAAMANS CREEK RD
GARNET VALLEY PA
19060-1615
US

IV. Provider business mailing address

23 N DELSEA DR UNIT B
CLAYTON NJ
08312-1637
US

V. Phone/Fax

Practice location:
  • Phone: 610-558-7840
  • Fax:
Mailing address:
  • Phone: 856-423-7700
  • Fax: 856-423-0823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberOS005936L
License Number StatePA

VIII. Authorized Official

Name: PATRICK MURPHY
Title or Position: PROVIDER
Credential: DO
Phone: 610-547-4322