Provider Demographics
NPI:1427194091
Name:SOSS, MURRAY CHARLES (DO)
Entity Type:Individual
Prefix:DR
First Name:MURRAY
Middle Name:CHARLES
Last Name:SOSS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7516 CITY AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-2102
Mailing Address - Country:US
Mailing Address - Phone:215-877-7303
Mailing Address - Fax:215-473-1997
Practice Address - Street 1:7516 CITY AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-2102
Practice Address - Country:US
Practice Address - Phone:215-877-7303
Practice Address - Fax:215-473-1997
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS002460L207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB34225Medicare UPIN