Individual
DR. COLLEEN D JUDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
23348 NICHOLSON ST, HOLLYWOOD, MD 20636-3287
(301) 475-6900
(240) 256-8728
Mailing address
PO BOX 838, LEONARDTOWN, MD 20650-0838
(301) 475-6900
(240) 256-8728
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D28544
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
756741300
—
MD
Enumeration date
08/26/2005
Last updated
09/28/2018
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