Provider Demographics
NPI:1174551527
Name:JUDGE, JAMES WILLIAM III (M D)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:JUDGE
Suffix:III
Gender:M
Credentials:M D
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Mailing Address - Street 1:213 REECEVILLE RD
Mailing Address - Street 2:SUITE 28
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-1528
Mailing Address - Country:US
Mailing Address - Phone:610-384-1801
Mailing Address - Fax:610-384-5164
Practice Address - Street 1:213 REECEVILLE RD
Practice Address - Street 2:SUITE 28
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-1528
Practice Address - Country:US
Practice Address - Phone:610-384-1801
Practice Address - Fax:610-384-5164
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD035660E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC32036Medicare UPIN