Individual
DR. BROOKE G JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-7232
(603) 650-9478
Mailing address
1 MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-7232
(603) 650-9478
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
042.0010302
VT
207RP1001X
Pulmonary Disease Physician
042.0010302
VT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
042.0010302
VT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
10394
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0RE5492
MEDICAID
VT
05
—
30200501
—
NH
Enumeration date
12/01/2006
Last updated
11/04/2019
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