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Individual

DR. CHARLES A JUDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
985 PRINCE FREDERICK BLVD STE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Mailing address
985 PRINCE FREDERICK BLVD STE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D29657
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11032508
RAILROAD MEDICARE
MD
01
2148224
AETNA HMO PCP
MD
05
326941800
MD
01
41576201
CAREFIRST OF MARYLAND
MD
01
4461101
AETNA NON-HMO PCP
MD
01
836800
MAMSI HMO PCP
MD
01
C0410004
CAREFIRST OF DC
DC
Enumeration date
01/10/2007
Last updated
07/21/2022
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