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NPI Code Detail

MEDICARE: JUDSON BLAKE WING MD

MEDICARE: JUDSON BLAKE WING MD
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
1207P00000XEmergency Medicine Physician339543NY

General Provider Information

NPI Number : 1528756954
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDSON BLAKE WING MD
Provider Business Mailing Address
First Line : 750 E ADAMS ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-2306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 750 E ADAMS ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13210-2306
Country : US
Telephone Number : 315-464-5540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2023
Last Update Date : 01/03/2026

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Directions to “ JUDSON BLAKE WING MD” Practice Location

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