Provider Demographics
NPI:1841664497
Name:THE JUDGE GROUP
Entity type:Organization
Organization Name:THE JUDGE GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-617-1442
Mailing Address - Street 1:300 CONSHOHOCKEN STATE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-3801
Mailing Address - Country:US
Mailing Address - Phone:610-667-7700
Mailing Address - Fax:
Practice Address - Street 1:300 CONSHOHOCKEN STATE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-3801
Practice Address - Country:US
Practice Address - Phone:610-667-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2015-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN253328363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty