Healthcare Provider Details

I. General information

NPI: 1245224187
Provider Name (Legal Business Name): WINDELL HENRY ANTHONY MURPHY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 09/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 MARKET ST THE MERCY WELLNESS CENTER, GROUND FLOOR
UPPER DARBY PA
19082-2412
US

IV. Provider business mailing address

7600 WEST AVE
ELKINS PARK PA
19027-2511
US

V. Phone/Fax

Practice location:
  • Phone: 610-734-2145
  • Fax:
Mailing address:
  • Phone: 610-734-2145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD028962E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: