Individual
DR. JUDITH BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 W ELM ST, 2ND FLOOR, CONSHOHOCKEN, PA 19428-2007
(610) 567-6964
(610) 567-6170
Mailing address
1 W ELM ST, STE 100, CONSHOHOCKEN, PA 19428-4108
(215) 473-1515
(215) 473-1515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD053751
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015279820006
—
PA
01
—
0543935
AETNA HMO
PA
01
—
0809734000
KEYSTONE HEALTH PLAN EAST
PA
01
—
1023774
KEYSTONE MERCY
PA
01
—
5065448
AETNA PPO
PA
Enumeration date
11/04/2005
Last updated
01/17/2018
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