Individual
DR. JUDE GERMAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
493 RINGWOOD AVE, ALPHA, NJ 08865-4820
(860) 879-9360
Mailing address
1084 BOSTON TPKE, COVENTRY, CT 06238-1202
(860) 879-9360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05177600
NJ
207Q00000X
Family Medicine Physician
51302
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10701768
CAQH ID
—
01
—
1710042494
NPI
NJ
01
—
25MA05177600
LICENSE
NJ
Enumeration date
12/24/2006
Last updated
03/07/2023
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