Provider Demographics
NPI:1962710186
Name:JABLONER, JUDITH LEE (MD)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:LEE
Last Name:JABLONER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:JUDITH
Other - Middle Name:J
Other - Last Name:BUMBLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:(MD)
Mailing Address - Street 1:221 MORLYN AVENUE,
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010
Mailing Address - Country:US
Mailing Address - Phone:610-525-9552
Mailing Address - Fax:
Practice Address - Street 1:221 MORLYN AVENUE
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010
Practice Address - Country:US
Practice Address - Phone:610-525-9552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA008092-E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics