Chudacoff, Richard Martin
Chudacoff, Richard Martin is an individual health care provider with primary practice located at 2801 N State Road 7 , Margate FL 33063-5727. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Chudacoff, Richard Martin can be contacted via phone (954) 974-0400.Contact Information
Primary practice address
2801 N State Road 7
Margate FL 33063-5727
Phone: (954) 974-0400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | G70841 | California |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101266257 | Virginia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | K5869 | Texas |
| Allopathic & Osteopathic Physicians / Female Pelvic Medicine and Reconstructive Surgery | 207VF0040X | ME114379 | Florida |
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 12108 | Nevada |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 25MA10635300 | New Jersey |
Profile Details
| NPI number | 1740275064 |
|---|---|
| LBN Legal business name | Chudacoff, Richard Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Dec 20th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740275064 | NPPES |
| Texas | MEDICAID | 11340275064 | |
| Texas | MEDICAID | 115868400 |
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