Individual
DR. MARY JUDE TETER BABIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
930 HENRIETTA AVE., SUITE A, HUNTINGDON VALLEY, PA 19006
(215) 663-5775
(215) 663-5673
Mailing address
930 HENRIETTA AVE., SUITE A, HUNTINGDON VALLEY, PA 19006
(215) 663-5775
(215) 663-5673
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS003324L
PA
2080P0208X
Pediatric Infectious Diseases Physician
OS003324L
PA
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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