Gardner, Judith Ann

Gardner, Judith Ann is an individual health care provider with primary practice located at 1690 Big Oak Rd , Yardley PA 19067-6421. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gardner, Judith Ann can be contacted via phone (215) 493-1750.

Contact Information

Primary practice address
1690 Big Oak Rd Yardley PA 19067-6421
Fax: (215) 493-1470
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X OS008942L Pennsylvania

Profile Details

NPI number 1124095468
LBN Legal business name Gardner, Judith Ann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Apr 17th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124095468 NPPES
Pennsylvania MEDICAID 0017159910005

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