Provider Demographics
NPI:1447279906
Name:STEINBERG, JUDITH ELLEN (MD)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:ELLEN
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:JUDITH
Other - Middle Name:STEINBERG
Other - Last Name:DEAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-0850
Mailing Address - Country:US
Mailing Address - Phone:802-985-2585
Mailing Address - Fax:802-985-5092
Practice Address - Street 1:5138 SHELBURNE RD
Practice Address - Street 2:SUITE 12
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-6698
Practice Address - Country:US
Practice Address - Phone:802-985-2585
Practice Address - Fax:802-985-5092
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0006776207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine