Provider Demographics
NPI:1528298965
Name:LEDGERWOOD, JULIE E (DO)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:E
Last Name:LEDGERWOOD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:E
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:NIH 9000 ROCKVILLE PIKE CLINICAL RESEARCH CTR
Mailing Address - Street 2:CRC BUILDING 10 ROOM 5-2440
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-594-8502
Mailing Address - Fax:
Practice Address - Street 1:NIH 9000 ROCKVILLE PIKE CLINICAL RESEARCH CTR
Practice Address - Street 2:CRC BUILDING 10 ROOM 5-2440
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-594-8502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0059386207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology