Fastenberg, Judd Harris

Fastenberg, Judd Harris is an individual health care provider with primary practice located at 925 Chestnut St Fl 6 , Philadelphia PA 19107. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Fastenberg, Judd Harris can be contacted via phone (215) 955-6760.

Contact Information

Primary practice address
925 Chestnut St Fl 6 Philadelphia PA 19107
Phone: (215) 955-6760
Fax: (215) 923-4532
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD463975 Pennsylvania

Profile Details

NPI number 1720320492
LBN Legal business name Fastenberg, Judd Harris
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2013
Last updated Jun 21st, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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