Individual
PRESTON LYMAN JUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 MEADE PARKWAY, SUFFOLK, VA 23434-4259
(757) 925-0759
(757) 934-9377
Mailing address
2000 MEADE PARKWAY, SUFFOLK, VA 23434-4259
(757) 925-0759
(757) 934-9377
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101032550
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02082828
—
NY
01
—
110090754
RAILROAD MEDICARE
VA
05
—
6024874
—
VA
05
—
890583H
—
NC
Enumeration date
04/19/2006
Last updated
04/09/2014
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