Individual
JUDAH MINKOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 MAIN ST STE 205, REISTERSTOWN, MD 21136-2516
(410) 526-3042
(410) 584-1889
Mailing address
515 FAIRMOUNT AVE STE 400, TOWSON, MD 21286-8518
(410) 526-3042
(410) 584-1889
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D27123
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32921100
—
MD
Enumeration date
05/04/2006
Last updated
12/07/2020
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