Prophete, Judith
Prophete, Judith is an individual health care provider with primary practice located at 5000 Parkside Ave , Philadelphia PA 19131-4714. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as her primary health care specialty. Prophete, Judith can be contacted via phone (732) 979-5810.Contact Information
Primary practice address
5000 Parkside Ave
Philadelphia PA 19131-4714
Phone: (732) 979-5810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | MD 043080E | Pennsylvania |
Profile Details
| NPI number | 1477731974 |
|---|---|
| LBN Legal business name | Prophete, Judith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2008 |
| Last updated | Feb 6th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477731974 | NPPES |
| Pennsylvania | MEDICAID | 725985 |
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