Individual
DR. JUDITH MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 WEST MERMAID LN, PHILADELPHIA, PA 19118
(215) 870-0329
Mailing address
415 W MERMAID LN, PHILADELPHIA, PA 19118-4203
(215) 870-0329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD020507E
PA
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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