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Individual

J. DAVID JUDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3900 LAKEVILLE HWY, PETALUMA, CA 94954-5698
(707) 765-3900
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3429
(510) 625-6262

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A45528
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A455280
CA
Enumeration date
01/18/2007
Last updated
07/08/2007
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