Healthcare Provider Details

I. General information

NPI: 1023213527
Provider Name (Legal Business Name): MURIEL L YOUNG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 STRATFORD AVE
ELKINS PARK PA
19027-3502
US

IV. Provider business mailing address

807 STRATFORD AVE
ELKINS PARK PA
19027-3502
US

V. Phone/Fax

Practice location:
  • Phone: 215-782-1965
  • Fax: 215-782-8453
Mailing address:
  • Phone: 215-782-1965
  • Fax: 215-782-8453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberMD028901L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: