Provider Demographics
NPI:1366514747
Name:NORMAN, JUDITH ANN (MD)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:ANN
Last Name:NORMAN
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:704 THIMBLE SHOALS BLVD
Mailing Address - Street 2:SUITE 600A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4544
Mailing Address - Country:US
Mailing Address - Phone:757-595-5075
Mailing Address - Fax:757-595-5077
Practice Address - Street 1:704 THIMBLE SHOALS BLVD
Practice Address - Street 2:SUITE 600A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-4544
Practice Address - Country:US
Practice Address - Phone:757-595-5075
Practice Address - Fax:757-595-5077
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2025-04-28
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Provider Licenses
StateLicense IDTaxonomies
VA0101240728207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1366514747Medicaid
VA017487R53Medicare PIN