Provider Demographics
NPI:1982818118
Name:MUCH, JUDITH KEHS (RN, AOCNP, APRNBC)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:KEHS
Last Name:MUCH
Suffix:
Gender:F
Credentials:RN, AOCNP, APRNBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9027 EASTON RD
Mailing Address - Street 2:
Mailing Address - City:OTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18942-9653
Mailing Address - Country:US
Mailing Address - Phone:732-235-8238
Mailing Address - Fax:732-235-8495
Practice Address - Street 1:195 LITTLE ALBANY ST
Practice Address - Street 2:CANCER INSTITUTE OF NJ, TREATMENT AREA- BAY 3
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1914
Practice Address - Country:US
Practice Address - Phone:732-235-8238
Practice Address - Fax:732-235-8495
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08993700363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7561202Medicaid
NJS61574Medicare UPIN
NJ014924Medicare ID - Type Unspecified