Individual
MELINDA T FUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
261 OLD YORK RD, SUITE 634, JENKINTOWN, PA 19046-3706
(215) 887-9612
(215) 887-9613
Mailing address
261 OLD YORK RD, SUITE 634, JENKINTOWN, PA 19046-3706
(215) 887-9612
(215) 887-9613
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-047742
PA
Other
Enumeration date
04/10/2007
Last updated
02/11/2022
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