Organization
ROBERT JUDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JUDGE (OWNER)
(260) 589-2312
Entity
Organization
Contact information
Practice address
1521 W MAIN ST, BERNE, IN 46711-1796
(260) 589-2312
Mailing address
1521 W MAIN ST, BERNE, IN 46711-1796
(260) 589-2312
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200171050A
—
IN
Enumeration date
04/22/2008
Last updated
06/10/2013
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