Provider Demographics
NPI:1104147685
Name:COOK, CAROLINE MURPHY (MD)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MURPHY
Last Name:COOK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:41 UNIVERSITY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1873
Mailing Address - Country:US
Mailing Address - Phone:215-710-5522
Mailing Address - Fax:215-710-5181
Practice Address - Street 1:1205 LANGHORNE NEWTOWN RD STE 102
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1220
Practice Address - Country:US
Practice Address - Phone:215-710-2633
Practice Address - Fax:215-710-2634
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD449136207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30214765OtherKEYSTONE FIRST
PA4839251OtherAETNA
PA1910819OtherCIGNA PA
PA3921567000OtherKEYSTONE IBC
PAP02392623OtherRAILROAD MEDICARE
PA3031001OtherHIGHMARK BLUE SHIELD
PA1028432460002Medicaid
PA4839251OtherAETNA