Provider Demographics
NPI:1497394365
Name:JUDD, BRITTANY D
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:D
Last Name:JUDD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3465 REGENCY PKWY
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-3817
Mailing Address - Country:US
Mailing Address - Phone:443-404-3327
Mailing Address - Fax:443-557-0824
Practice Address - Street 1:3465 REGENCY PKWY
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-3817
Practice Address - Country:US
Practice Address - Phone:443-404-3327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-24
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy