Navarro, Judith Tan

Navarro, Judith Tan is an individual health care provider with primary practice located at 1448 Manoa Rd , Wynnewood PA 19096-3502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Navarro, Judith Tan can be contacted via phone (610) 896-8026.

Contact Information

Primary practice address
1448 Manoa Rd Wynnewood PA 19096-3502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD066148L Pennsylvania

Profile Details

NPI number 1437173994
LBN Legal business name Navarro, Judith Tan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 2007 - about 18 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 1437173994 NPPES
Pennsylvania MEDICAID 0017829200001
Pennsylvania Other 0339835

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