Doctor Name: | STEPHEN P. JUDD |
NPI Number: | 1245378488 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 40QA00179700 |
Business Practice Address: | 1130 Us Highway 202 Building E Raritan, NJ - 088691490 |
Business Phone Number: | 9087259595 |
Business Fax Number: | 9087259803 |
Mailing Address: | 2 Pheasant Run, GLADSTONE |
State: | NJ |
Postal Code: | 079342112 |
Phone Number: | 9082349259 |
Fax Number: | 9087259803 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 09/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 40QA00179700 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |