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Individual

DANIEL P JUDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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