Healthcare Provider Details

I. General information

NPI: 1619990900
Provider Name (Legal Business Name): EMERGENCY PHYSICIAN ASSOCIATES OF PENNSYLVANIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HIGHLAND AVE
HANOVER PA
17331-2297
US

IV. Provider business mailing address

307 SOUTH EVERGREEN AVE
WOODBURY NJ
08095-2739
US

V. Phone/Fax

Practice location:
  • Phone: 717-633-2000
  • Fax:
Mailing address:
  • Phone: 856-686-4316
  • Fax: 856-848-8536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: STEPHEN MURTAUGH
Title or Position: CFO
Credential:
Phone: 856-686-4316