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Individual

MR. CHARLES S. MURPHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1722 BETHLEHEM PIKE, FLOURTOWN, PA 19031-1644
(215) 233-9700
(215) 233-9710
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 233-9700
(215) 233-9710

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
009341
NY
363AM0700X
Medical Physician Assistant
009341-1
NY
363AM0700X
Medical Physician Assistant
Primary
MA-055936
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1007278000
TPI MEDICAID GROUP ID
PA
01
597586
TPI MEDICARE GROUP PTAN
PA
01
CD4829
TPI RAILROAD MEDICARE GROUP
PA
Enumeration date
03/31/2007
Last updated
11/13/2013
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