Individual
DANIEL P JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0005
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
51600
SC
207RC0000X
Cardiovascular Disease Physician
D50595
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138600000
—
MD
Enumeration date
06/09/2006
Last updated
07/21/2022
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