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Individual

DR. JUDITH ANNE LIGHTFOOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
42 E LAUREL RD STE 3100-C, STRATFORD, NJ 08084-1354
(856) 566-7070
(856) 566-6906
Mailing address
42 E LAUREL RD STE 3100-C, STRATFORD, NJ 08084-1354
(856) 566-7070
(856) 566-6906

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MB66998
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
440002295
RAILROAD MEDICARE
NJ
05
7612508
NJ
Enumeration date
06/03/2006
Last updated
06/25/2024
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