Individual
DR. JUDITH MARIE UGALE-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301082671
MI
2080P0203X
Pediatric Critical Care Medicine Physician
2012-01473
NC
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
25MA11329100
NJ
2080P0203X
Pediatric Critical Care Medicine Physician
30561
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045
BCBS
SC
05
—
1427254721
—
NC
01
—
1844D
BCBS NC
NC
01
—
18500
EVOLUTIONS
—
01
—
20077595
SELECT HEALTH
SC
01
—
206995
MEDCOST
—
05
—
305618
—
SC
05
—
5909275
—
NC
01
—
9303224
AETNA
SC
01
—
AA26508552
MEDICARE PTAN
SC
Enumeration date
06/23/2007
Last updated
03/04/2022
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