Individual
JUDE J ADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1930
(860) 679-2588
(860) 679-3489
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000754
CT
Other
Enumeration date
07/20/2005
Last updated
10/07/2014
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