Provider Demographics
NPI:1093884553
Name:MARTIN A. MURCEK, M.D., LTD.
Entity Type:Organization
Organization Name:MARTIN A. MURCEK, M.D., LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MURCEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-837-4070
Mailing Address - Street 1:562 SHEARER ST
Mailing Address - Street 2:SUITE 101-2
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2746
Mailing Address - Country:US
Mailing Address - Phone:724-837-4070
Mailing Address - Fax:724-837-3316
Practice Address - Street 1:562 SHEARER ST
Practice Address - Street 2:SUITE 101-2
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2746
Practice Address - Country:US
Practice Address - Phone:724-837-4070
Practice Address - Fax:724-837-3316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026824L207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006128190001Medicaid
PA0011652390001Medicaid
PA0006128190001Medicaid
PA0011652390001Medicaid