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Individual

PATRICIA L JUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1401 S 31ST ST, PHILADELPHIA, PA 19146-3506
(215) 925-4201
Mailing address
1401 S 31ST ST, PHILADELPHIA, PA 19146-3506

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
41648
MN
207V00000X
Obstetrics & Gynecology Physician
9426158-1205
UT
207V00000X
Obstetrics & Gynecology Physician
Primary
MD475526
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1021429
PREFERRED ONE
MN
01
127255
U CARE
MN
01
166439
FAIRVIEW
MN
01
36-04052
MEDICA-PRIMARY
MN
01
36-11172
MEDICA-CHOICE
MN
01
43R99JU
BLUE CROSS BLUE SHIELD
MN
05
462327400
MN
01
858113
ARAZ
01
HP29190
HEALTH PARTNERS
MN
Enumeration date
09/28/2006
Last updated
12/08/2021
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