Provider Demographics
NPI:1376823047
Name:BELL, JUDITH ANNE (SP011473)
Entity Type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:ANNE
Last Name:BELL
Suffix:
Gender:F
Credentials:SP011473
Other - Prefix:MS
Other - First Name:JUDITH
Other - Middle Name:ANNE
Other - Last Name:MIHALY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN238629L
Mailing Address - Street 1:2620-C MEMORIAL BLVD
Mailing Address - Street 2:CHAT-A-WHO-CHEE SQUARE
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425
Mailing Address - Country:US
Mailing Address - Phone:724-626-0700
Mailing Address - Fax:724-626-8700
Practice Address - Street 1:2620-C MEMORIAL BLVD
Practice Address - Street 2:HIGHLANDS MEDICAL
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425
Practice Address - Country:US
Practice Address - Phone:724-626-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2012-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011473207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine