Basic Information
| Provider Information | |||||||||
| NPI: | 1508083825 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JUDITH K. VOLKAR MD INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1481 EISENHOWER BLVD | ||||||||
| Address2: | SUITE D | ||||||||
| City: | JOHNSTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 159043217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8142665005 | ||||||||
| FaxNumber: | 8142665009 | ||||||||
| Practice Location | |||||||||
| Address1: | 1481 EISENHOWER BLVD | ||||||||
| Address2: | SUITE D | ||||||||
| City: | JOHNSTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 159043217 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8142665005 | ||||||||
| FaxNumber: | 8142665009 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2007 | ||||||||
| LastUpdateDate: | 05/13/2008 | ||||||||
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| AuthorizedOfficialLastName: | VOLKAR | ||||||||
| AuthorizedOfficialFirstName: | JUDITH | ||||||||
| AuthorizedOfficialMiddleName: | K | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8142665005 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 291U00000X | 39D1046301 | PA | Y | Laboratories | Clinical Medical Laboratory |
No ID Information.