Provider Demographics
NPI:1750329553
Name:MURDOCH, WINSLOW WILLIAMS (MD)
Entity Type:Individual
Prefix:DR
First Name:WINSLOW
Middle Name:WILLIAMS
Last Name:MURDOCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 E BOOT RD
Mailing Address - Street 2:STE 300A
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380
Mailing Address - Country:US
Mailing Address - Phone:610-692-4700
Mailing Address - Fax:610-692-6444
Practice Address - Street 1:1450 E BOOT RD
Practice Address - Street 2:STE 300A
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380
Practice Address - Country:US
Practice Address - Phone:610-692-4700
Practice Address - Fax:610-692-6444
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039756E207Q00000X
DECI0007601207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD039756EOtherLICENSE NUMBER
DECI0007601OtherLICENSE NUMBER
PAMD039756EOtherLICENSE NUMBER
DECI0007601OtherLICENSE NUMBER
MD4640OtherDEA