Individual
JUDY LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 HORIZON DR STE 102B, CHALFONT, PA 18914-3966
(215) 395-8888
Mailing address
4170 CITY AVE, PHILADELPHIA, PA 19131-1610
(215) 871-6772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/02/2020
Last updated
12/21/2020
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