Healthcare Provider Details

I. General information

NPI: 1225081995
Provider Name (Legal Business Name): MONACAN EMGERGENCY PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 N MAIN ST
EMPORIA VA
23847-1274
US

IV. Provider business mailing address

100 WITMER RD SUITE 220
HORSHAM PA
19044-2211
US

V. Phone/Fax

Practice location:
  • Phone: 434-348-4500
  • Fax:
Mailing address:
  • Phone: 800-247-8060
  • Fax: 215-957-2875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JAMES MURPHY
Title or Position: PRESIDENT/GENERAL PARTNER
Credential:
Phone: 800-247-8060