Individual
MR. PETER A JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 MONTAUK HIGHWAY, SOUTH BAY OB GYN PC, WEST ISLIP, NY 11795-4401
(631) 587-2500
(631) 587-0292
Mailing address
45 RESEARCH WAY SUITE 204B, UNIVERSITY ASSOCIATES OBGYN, EAST SETAUKET, NY 11733
(631) 615-8272
(631) 350-7200
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1672631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200238
GHI
NY
05
—
124813
—
NY
01
—
CP194
OXFORD
NY
Enumeration date
10/27/2006
Last updated
06/16/2014
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