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NPI Code Detail

MEDICARE: MR. JAMES MATTHEW JUDGE

MEDICARE:  MR. JAMES MATTHEW JUDGE
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
1104100000XSocial Worker28983MD

General Provider Information

NPI Number : 1871275701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES MATTHEW JUDGE
Provider Business Mailing Address
First Line : 11 BYTE CT STE C
Second Line :
City : FREDERICK
State : MD
Zip : 21702-8718
Country : US
Telephone Number : 301-246-0206
Fax Number :
Provider Business Practice Location Address
First Line : 11 BYTE CT STE C
Second Line :
City : FREDERICK
State : MD
Zip : 21702-8718
Country : US
Telephone Number : 301-246-0206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2023
Last Update Date : 12/03/2025

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Directions to “ MR. JAMES MATTHEW JUDGE ” Practice Location

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