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Individual

MARY ELAINE JUDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
43 MAIN ST, N STRATFORD, NH 03590-4005
(603) 922-5039
(603) 922-5502
Mailing address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-5029
(603) 788-5059

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0192 P
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00029222
BCBS OF VT
VT
05
30005368
NH
01
394376
MVP HEALTHPLANS
01
7626041
AETNA
05
OAP1435
VT
Enumeration date
05/05/2006
Last updated
01/04/2021
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