Individual
JUDITH TAN NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1448 MANOA RD, WYNNEWOOD, PA 19096-3502
(610) 896-8026
Mailing address
1448 MANOA RD, WYNNEWOOD, PA 19096-3502
(610) 896-8026
(610) 896-8026
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD066148L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017829200001
—
PA
01
—
0339835
BS NUMBER
PA
Enumeration date
07/27/2006
Last updated
07/08/2007
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