Provider Demographics
NPI:1649298761
Name:JURD, JULIE ANNE (DPM)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANNE
Last Name:JURD
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:JURD-SADLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3280 URBANA PIKE STE 202
Mailing Address - Street 2:
Mailing Address - City:IJAMSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21754-9406
Mailing Address - Country:US
Mailing Address - Phone:410-963-6377
Mailing Address - Fax:877-348-8298
Practice Address - Street 1:3280 URBANA PIKE
Practice Address - Street 2:SUITE 202
Practice Address - City:IJAMSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21754
Practice Address - Country:US
Practice Address - Phone:301-874-9669
Practice Address - Fax:301-829-9602
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01115213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5967210001Medicare NSC
U32978Medicare UPIN