Individual
DR. JENNIFER H. JUDKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
106 HANOVER ST, LEBANON, NH 03766-1042
(603) 448-0447
(603) 448-1089
Mailing address
106 HANOVER ST, LEBANON, NH 03766-1042
(603) 448-0447
(603) 448-1089
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12996
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012413
—
VT
05
—
30205893
—
NH
Enumeration date
05/20/2006
Last updated
05/22/2008
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