Provider Demographics
NPI:1063679660
Name:MURPHY, JOHN BRIEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BRIEN
Last Name:MURPHY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:326 GRAYS LN
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041-1907
Mailing Address - Country:US
Mailing Address - Phone:610-896-6647
Mailing Address - Fax:610-896-3437
Practice Address - Street 1:326 GRAYS LN
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041-1907
Practice Address - Country:US
Practice Address - Phone:610-896-6647
Practice Address - Fax:610-896-3437
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD024921E208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery