MEDICARE: DR. JUDITH G PERRY 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
1	208000000X	Pediatrics Physician	D19757	MD

General Provider Information

NPI Number	:	1144425646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUDITH G PERRY M.D.

Provider Business Mailing Address
First Line	:	9004 2ND AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-2149
Country	:	US
Telephone Number	:	301-565-8215
Fax Number	:

Provider Business Practice Location Address
First Line	:	9004 2ND AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-2149
Country	:	US
Telephone Number	:	301-565-8215
Fax Number	:

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

Provider Enumeration Date	:	06/15/2007
Last Update Date	:	09/08/2008

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