Individual
THOMAS A JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 FELLOWSHIP RD, SUITE 101 (GASTROENTEROLOGY), MOUNT LAUREL, NJ 08054-3419
(856) 642-2133
(856) 642-2134
Mailing address
501 FELLOWSHIP RD, SUITE 101 (GASTROENTEROLOGY), MOUNT LAUREL, NJ 08054-3419
(856) 642-2133
(856) 642-2134
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA76060
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000034276
—
DE
01
—
2214869000
AMERIHEALTH, KEYSTONE IBC
—
01
—
3252765
AETNA
—
01
—
60000191
HORIZON NJ HEALTH
—
05
—
6214401
—
NJ
01
—
P00105668
RR MEDICARE
—
Enumeration date
10/11/2006
Last updated
04/25/2016
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