Individual
DR. KEVIN MARC JUDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1307 FEDERAL ST, SUITE B300, PITTSBURGH, PA 15212-4769
(412) 359-3751
(412) 359-8439
Mailing address
1307 FEDERAL ST, SUITE B300, PITTSBURGH, PA 15212-4769
(412) 359-3751
(412) 359-8439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD434806
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021794000001
—
PA
01
—
P00629744
MEDICARE RAILROAD
PA
Enumeration date
06/05/2008
Last updated
10/11/2010
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