Provider Demographics
NPI:1922009257
Name:DICKERT, JUDITH MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:MICHELLE
Last Name:DICKERT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2311 GEORGIA VILLAGE WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4203
Mailing Address - Country:US
Mailing Address - Phone:301-768-5410
Mailing Address - Fax:301-295-5170
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:NNMC, DEPARTMENT OF ENDOCRINOLOGY & METABOLISM
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-5165
Practice Address - Fax:301-295-5170
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD10693207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism