Mckenzie, Judith G

Mckenzie, Judith G is an individual health care provider with primary practice located at 3400 Spruce Street Ground Silverstein Bldg, Philadelphia PA 19104. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is her primary health care specialty. Mckenzie, Judith G can be contacted via phone (215) 662-4439.

Contact Information

Primary practice address
3400 Spruce Street Ground Silverstein Bldg Philadelphia PA 19104
Phone: (215) 662-4439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X MD062688L Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD062688L Pennsylvania

Profile Details

NPI number 1679501126
LBN Legal business name Mckenzie, Judith G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Apr 11th, 2014 - about 10 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 1679501126 NPPES
Pennsylvania MEDICAID 0016516700005

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