Provider Demographics
NPI:1285862771
Name:PALMER, JUDITH JOAN (M D)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:JOAN
Last Name:PALMER
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60703
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-0703
Mailing Address - Country:US
Mailing Address - Phone:650-424-9968
Mailing Address - Fax:650-424-9968
Practice Address - Street 1:441 CAROLINA LN
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-4124
Practice Address - Country:US
Practice Address - Phone:650-424-9968
Practice Address - Fax:650-424-9968
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAAFE23892208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics