Preston Lyman Judson in Suffolk - Cardiovascular Disease

Preston Lyman Judson - NPI 1790740280

Preston Lyman Judson is a Cardiovascular Disease in Suffolk, Virginia. Preston Lyman Judson practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Preston Lyman Judson is 1790740280. The last update date is 2014-04-09.

Preston Lyman Judson's current location address is 2000 Meade Parkway, Suffolk, Virginia. You can contact this provider via phone number 7579250759 and fax number 7579349377. The mailing address for Preston Lyman Judson is 2000 Meade Parkway, Suffolk, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Preston Lyman Judson
Address 2000 Meade Parkway, Suffolk, Virginia
Phone Number 7579250759
Fax Number 7579349377
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790740280
Provider Enumeration Date 2006-04-19
Last Updated Date 2014-04-09

Provider Mailing Address Detail

Address 2000 Meade Parkway
City Suffolk
State Virginia (VA)
Post Code 234344259
Phone Number 7579250759
Fax Number 7579349377

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No 101032550
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6024874 VA --
890583H NC --
2082828 NY --
110090754 VA RAILROAD MEDICARE

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FAQs about Preston Lyman Judson

What is the Preston Lyman Judson's unique identification number?

The Preston Lyman Judson has been assigned the NPI (National Provider Identifier) Number 1790740280 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Preston Lyman Judson is geographically located?

The Preston Lyman Judson is physically situated at the following location: 2000 Meade Parkway, Suffolk, VA, 234344259.

What is Preston Lyman Judson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Preston Lyman Judson is Cardiovascular Disease, and the corresponding taxonomy classification code for this specialized field is 207Rc0000X.

On what date did the Preston Lyman Judson receive its 1790740280 assignment from the Centers for Medicare & Medicaid Services?

The Preston Lyman Judson was assigned its 1790740280 by the Centers for Medicare & Medicaid Services on 2006-04-19.

As of what date were the details pertaining to Preston Lyman Judson last refreshed?

The information related to the Preston Lyman Judson, including its address, specialty, and other relevant details, was last updated on 2014-04-09.

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