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NPI Code Detail

MEDICARE: DR. ANDLEEB K JUDGE M.D.

MEDICARE: DR. ANDLEEB K JUDGE M.D.
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
1207R00000XInternal Medicine PhysicianA80979CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932141124
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDLEEB K JUDGE M.D.
Provider Business Mailing Address
First Line : 10470 OLD PLACERVILLE RD STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95827-2539
Country : US
Telephone Number : 800-470-0071
Fax Number :
Provider Business Practice Location Address
First Line : 770 MASON ST
Second Line :
City : VACAVILLE
State : CA
Zip : 95688-4646
Country : US
Telephone Number : 707-454-5800
Fax Number : 707-454-5911
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 01/13/2017

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Directions to “ DR. ANDLEEB K JUDGE M.D.” Practice Location

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