MEDICARE: REBECCA JUDGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	RP456598	PA

General Provider Information

NPI Number	:	1154272151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA JUDGE

Provider Business Mailing Address
First Line	:	2001 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-7044
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 MARKET ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-7044
Country	:	US
Telephone Number	:	302-528-6863
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ REBECCA JUDGE ” Practice Location

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