Colleen D Jude


Address: 23348 Nicholson St, Hollywood, MD 20636-3287
Phone: 3014756900

Colleen D Jude (NPI# 1982697793, PAC ID# 8325060619) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1982697793
PAC ID by PECOS 8325060619
Professional Enrollment ID I20051230000082
Full Name Colleen D Jude
Address 23348 Nicholson St
Hollywood
MD 20636-3287
Phone Number 3014756900
Gender F
Credential MD
Medical School UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year 1981
Primary Specialty INTERNAL MEDICINE
Secondary Specialties EMERGENCY MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210028 MEDSTAR SAINT MARY'S HOSPITAL

Other Locations

Address Phone Organization
23348 Nicholson St, Hollywood, MD 20636-3287 3014756900

Organization Information

Office Location

Street Address 23348 NICHOLSON ST
City HOLLYWOOD
State MD
Zip 20636-3287

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Competitor

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City HOLLYWOOD
Zip Code 20636
Specialty INTERNAL MEDICINE
City + Specialty HOLLYWOOD + INTERNAL MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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