Provider Demographics
NPI:1679537567
Name:MURPHY, WILLIAM C (DO, LPT)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:MURPHY
Suffix:
Gender:M
Credentials:DO, LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 S. NEW MIDDLETOWN ROAD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063
Mailing Address - Country:US
Mailing Address - Phone:610-892-7344
Mailing Address - Fax:610-892-7304
Practice Address - Street 1:176 S. NEW MIDDLETOWN ROAD
Practice Address - Street 2:SUITE 105
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063
Practice Address - Country:US
Practice Address - Phone:610-892-7344
Practice Address - Fax:610-892-7304
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS007485L2081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01414423Medicaid
PA055575Medicare ID - Type Unspecified
PA01414423Medicaid