Healthcare Provider Details

I. General information

NPI: 1255256160
Provider Name (Legal Business Name): JUSTICE A BADGLEY CRDH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MUNRO AVE
CAPE MAY NJ
08204-5000
US

IV. Provider business mailing address

1430 DELAWARE AVE APT A
CAPE MAY NJ
08204-4038
US

V. Phone/Fax

Practice location:
  • Phone: 609-898-6900
  • Fax:
Mailing address:
  • Phone: 507-236-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberDH35792
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: