Healthcare Provider Details

I. General information

NPI: 1134122583
Provider Name (Legal Business Name): COLLEEN MURPHY BUFFINGTON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 OMEGA DR # J
NEWARK DE
19713-6020
US

IV. Provider business mailing address

24 OMEGA DR # J
NEWARK DE
19713-6020
US

V. Phone/Fax

Practice location:
  • Phone: 302-737-3571
  • Fax: 302-656-1311
Mailing address:
  • Phone: 302-737-3571
  • Fax: 302-656-1311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberOS010343L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: