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Individual

JEFFREY M JUDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5700 MONROE ST, SUITE 202, SYLVANIA, OH 43560-2767
(419) 473-6622
(419) 473-6627
Mailing address
1 SEAGATE, SUITE 800, TOLEDO, OH 43604-1558
(567) 585-1964
(419) 824-7359

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35063744
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000188006
ANTHEM
OH
05
0137382
OH
01
01956
PARAMOUNT
OH
01
07-01505
UHC
OH
01
160051808
RRMC
OH
05
2029049
OH
01
4604033
AETNA
OH
Enumeration date
07/14/2005
Last updated
11/03/2023
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