Individual
DR. JUDE THADDEUS ESCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
722 S FAYETTE ST, UNIT #31, ALEXANDRIA, VA 22314-3937
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MB09503800
NJ
207Q00000X
Family Medicine Physician
Primary
0102201743
VA
Other
Enumeration date
11/02/2005
Last updated
12/12/2016
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