Provider Demographics
NPI:1639583875
Name:MURPHY, PETER
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:MURPHY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 GENERAL WASHINGTON MEM BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON CROSSING
Mailing Address - State:PA
Mailing Address - Zip Code:18977-1335
Mailing Address - Country:US
Mailing Address - Phone:855-247-2725
Mailing Address - Fax:855-839-1155
Practice Address - Street 1:1240 GENERAL WASHINGTON MEM BLVD STE 3
Practice Address - Street 2:
Practice Address - City:WASHINGTON CROSSING
Practice Address - State:PA
Practice Address - Zip Code:18977-1335
Practice Address - Country:US
Practice Address - Phone:855-247-2725
Practice Address - Fax:855-839-1155
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT015874207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine