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Individual

DR. DAVID C JUDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 MERRIMAC ST STE 1000, AMBULATORY PRACTICE OF THE FUTURE, BOSTON, MA 02114-4773
(617) 724-1100
(617) 643-8898
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-1100
(617) 643-8898

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
158258
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
158258
TUFTS HEALTH PLAN
MA
05
3195988
MA
01
J21266
BCBS MA
MA
Enumeration date
12/30/2005
Last updated
02/07/2014
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