Healthcare Provider Details

I. General information

NPI: 1740452689
Provider Name (Legal Business Name): WINDELL HA MURPHY, MD FAAO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 09/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 MARKET ST GROUND FLOOR, THE PRISM CAREER CENTER
UPPER DARBY PA
19082-2412
US

IV. Provider business mailing address

6800 MARKET ST MERCY WELLNESS CENTER
UPPER DARBY PA
19082-2412
US

V. Phone/Fax

Practice location:
  • Phone: 610-734-2145
  • Fax: 610-352-5389
Mailing address:
  • Phone: 610-734-2145
  • Fax: 610-352-5389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. WINDELL HENRY ANTHONY MURPHY
Title or Position: OPHTHALMOLOGY/OWNER
Credential: MD
Phone: 610-734-2145