MEDICARE: MARY ELAINE JUDD PA-C

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	363A00000X	Physician Assistant	0192 P	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	394376	OTHER		MVP HEALTHPLANS
4	00029222	OTHER	VT	BCBS OF VT
5	7626041	OTHER		AETNA

General Provider Information

NPI Number	:	1114975661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ELAINE JUDD PA-C

Provider Business Mailing Address
First Line	:	173 MIDDLE ST
Second Line	:
City	:	LANCASTER
State	:	NH
Zip	:	03584-3508
Country	:	US
Telephone Number	:	603-788-5029
Fax Number	:	603-788-5059

Provider Business Practice Location Address
First Line	:	43 MAIN ST
Second Line	:
City	:	N STRATFORD
State	:	NH
Zip	:	03590-4005
Country	:	US
Telephone Number	:	603-922-5039
Fax Number	:	603-922-5502

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	01/04/2021

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:

2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106

Practice Phone: 605-373-0100
Practice Fax:

1841258894 — TOWN OF STRATFORD AMBULANCE
Practice Location Address:

10 COMMON ROAD
STRATFORD, NH
03590

Practice Phone: 603-922-5533
Practice Fax:

1083781199 — ALTA L CHASE
Practice Location Address:

441 BOG ROAD
STRATFORD, NH
03590

Practice Phone: 603-636-9914
Practice Fax:

1245444389 — STRATFORD PUBLIC SCHOOL
Practice Location Address:

19 SCHOOL ST
NORTH STRATFORD, NH
03590-4282

Practice Phone: 603-922-3303
Practice Fax:

1992011746 — MRS. NADINE LYNN GILCRIS PTA
Practice Location Address:

6 TERRACE ST
WHITEFIELD, NH
03598-3016

Practice Phone: 603-837-2541
Practice Fax:

1073570081 — DR. OLUSEGUN M ADEONIGBAGBE M.D.
Practice Location Address:

19203 JAMAICA AVE
HOLLIS, NY
11423-2529

Practice Phone: 718-217-7744
Practice Fax: 718-217-7233

Directions to “ MARY ELAINE JUDD PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.