Doctor Name: | JUDY MILLSPAUGH ANDERSON |
NPI Number: | 1326110255 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MD039531L |
Business Practice Address: | 1829 Bustleton Pike Feasterville Trevose, PA - 190537309 |
Business Phone Number: | 2153648412 |
Business Fax Number: | 2153648730 |
Mailing Address: | 1205 Christian St, PHILADELPHIA |
State: | PA |
Postal Code: | 191473611 |
Phone Number: | 2159015022 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD039531L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |