Provider Demographics
NPI:1740500776
Name:MURDOCK, ERIN (MD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:MURDOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 FULTON RD
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-4807
Mailing Address - Country:US
Mailing Address - Phone:412-328-3143
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:DD6-112
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-1913
Practice Address - Country:US
Practice Address - Phone:216-444-7029
Practice Address - Fax:216-445-1521
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH128943208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation