Individual provider · Type 1 NPI

Tyler Wen Judge, MD

Student in an Organized Health Care Education/Training Program · White Plains, NY

NPI number 1073364972 Active

Practice location

785 Mamaroneck Ave
White Plains, NY 10605-2523

Call (914) 597-2500 Map

Mailing address

737 Sierra St
El Segundo, CA 90245-3129

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073364972

Tyler Wen Judge, MD's National Provider Identifier is 1073364972, issued on Mar 28, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in White Plains, NY. The record was last updated on Feb 6, 2026.