person
Dr. Stephen Edward Judge, DO
Student in an Organized Health Care Education/Training Program in Albany, New York
NPI 1932696168

Stephen Edward Judge is a Student in an Organized Health Care Education/Training Program based in Albany, NY. Stephen Edward Judge practices in Albany, NY and has the professional credentials of DO. The NPI Number for Stephen Edward Judge is 1932696168 and holds a License No. 64030 (New York).

The current practice location address for Stephen Edward Judge is 47 New Scotland Avenue, Albany, NY and can be reached out via phone at 508-262-5377.

Location: 47 New Scotland Avenue, Albany, NY, 12208
person
Provider Profile Details
NPI Number
1932696168
Provider Name
Stephen Edward Judge
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
47 New Scotland Avenue, Albany, NY, 12208
Phone Number
508-262-5377
Fax Number
Provider Enumeration Date
04/13/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
390220000X 01 NY STUDENT- HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
47 New Scotland Avenue
City
State
Zip
12208
Phone Number
508-262-5377
Fax Number
person
Provider Business Mailing Address Details
Address
47 New Scotland Avenue
City
State
Zip
12208
Phone Number
508-262-5377
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
64030 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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