Healthcare Provider Details

I. General information

NPI: 1518082148
Provider Name (Legal Business Name): MICHAEL J. MURRAY M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 HONEYCREEK ROAD
REEDSVILLE PA
17084-0487
US

IV. Provider business mailing address

131 HONEYCREEK RD P O BOX 487
REEDSVILLE PA
17084
US

V. Phone/Fax

Practice location:
  • Phone: 717-667-6979
  • Fax: 717-667-3374
Mailing address:
  • Phone: 717-667-6979
  • Fax: 717-667-3374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD043054E
License Number StatePA

VIII. Authorized Official

Name: DR. MICHAEL JOHN MURRAY
Title or Position: FAMILY PHYSICIAN
Credential: M.D.
Phone: 717-667-6979