Provider Demographics
NPI:1154327369
Name:JUDGE, JAMES E (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:E
Last Name:JUDGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:O
Other - Last Name:JUDGE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7 ROSEWOOD DR
Mailing Address - Street 2:FARMINGTON
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1114
Mailing Address - Country:US
Mailing Address - Phone:860-673-7335
Mailing Address - Fax:860-702-9446
Practice Address - Street 1:7 ROSEWOOD DR
Practice Address - Street 2:FARMINGTON
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1114
Practice Address - Country:US
Practice Address - Phone:860-673-7335
Practice Address - Fax:860-702-9446
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT027376207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD74033Medicare UPIN