MEDICARE: DR. WINDELL HENRY ANTHONY MURPHY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD028962E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	32585	OTHER	PA	AETNA / US HEALTHCARE
2	31202	OTHER	PA	KEYSTONE MERCY HEALTH PLA

General Provider Information

NPI Number	:	1245224187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WINDELL HENRY ANTHONY MURPHY M.D.

Provider Business Mailing Address
First Line	:	7600 WEST AVE
Second Line	:
City	:	ELKINS PARK
State	:	PA
Zip	:	19027-2511
Country	:	US
Telephone Number	:	610-734-2145
Fax Number	:

Provider Business Practice Location Address
First Line	:	6800 MARKET ST
Second Line	:	THE MERCY WELLNESS CENTER, GROUND FLOOR
City	:	UPPER DARBY
State	:	PA
Zip	:	19082-2412
Country	:	US
Telephone Number	:	610-734-2145
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	09/21/2012

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