Provider Demographics
NPI:1942203013
Name:DEL MUNDO, JUDY T (MD)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:T
Last Name:DEL MUNDO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2061 CLARMAR WAY
Mailing Address - Street 2:STE A
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1706
Mailing Address - Country:US
Mailing Address - Phone:408-271-8807
Mailing Address - Fax:408-271-9814
Practice Address - Street 1:2061 CLARMAR WAY
Practice Address - Street 2:STE A
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1706
Practice Address - Country:US
Practice Address - Phone:408-271-8807
Practice Address - Fax:408-271-9814
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA64233207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH54024Medicare UPIN