| Doctor Name: | MS. MARYBETH JUDY |
| NPI Number: | 1790901197 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, LD |
| License Number: | |
| Business Practice Address: | 10 Wayman Ln Mount Desert Island Hospital Bar Harbor, ME - 046091625 |
| Business Phone Number: | 2072885081 |
| Business Fax Number: | 2072887024 |
| Mailing Address: | 10 Wayman Ln, Mount Desert Island Hospital BAR HARBOR |
| State: | ME |
| Postal Code: | 046091625 |
| Phone Number: | 2072885081 |
| Fax Number: | 2072887024 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 02/13/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133NN1002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Nutritionist |
| Taxonomy Specialization: | Nutrition, Education |
| Taxonomy Definition: | |