Individual
ANDREA JUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, IBCLC
Contact information
Practice address
416 ROSLYN AVE, GLENSIDE, PA 19038-3607
(215) 886-6639
Mailing address
416 ROSLYN AVE, GLENSIDE, PA 19038-3607
(215) 886-6639
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-26476
PA
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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