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Individual

DR. JUDITH MARIE SZULECKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
312 FAIRY STREET EXT, STE 201, MARTINSVILLE, VA 24112-1912
(276) 632-6496
(276) 632-6701
Mailing address
209 CLEVELAND AVE, MARTINSVILLE, VA 24112-3714
(276) 632-6496
(276) 632-6701

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101023435
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001826
ANTHEM
VA
05
005949173
VA
Enumeration date
10/27/2005
Last updated
03/07/2023
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