Provider Demographics
NPI:1962515106
Name:MORALES, JUDITH F (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:F
Last Name:MORALES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3300 GALLOWS RD
Mailing Address - Street 2:PHYSICIAN BILLING
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3307
Mailing Address - Country:US
Mailing Address - Phone:703-776-2545
Mailing Address - Fax:703-776-2917
Practice Address - Street 1:8505 ARLINGTON BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4621
Practice Address - Country:US
Practice Address - Phone:703-970-2600
Practice Address - Fax:703-970-2620
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-10-30
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Provider Licenses
StateLicense IDTaxonomies
VA0101029671208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC009654I99Medicare PIN