Provider Demographics
NPI:1376668152
Name:GACHINGIRI, JUDITH W (PA)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:W
Last Name:GACHINGIRI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:W
Other - Last Name:LALONDRIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA
Mailing Address - Street 1:16 ELKS TRL
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-3855
Mailing Address - Country:US
Mailing Address - Phone:302-345-9038
Mailing Address - Fax:
Practice Address - Street 1:111 CONTINENTAL DR
Practice Address - Street 2:406
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4306
Practice Address - Country:US
Practice Address - Phone:302-984-2577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC50000492363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical