Chudolij, George
Chudolij, George is an individual health care provider with primary practice located at 326 Nichols Rd Suite 16, Fitchburg MA 01420-1914. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Chudolij, George can be contacted via phone (978) 665-5800.Contact Information
Primary practice address
326 Nichols Rd Suite 16
Fitchburg MA 01420-1914
Phone: (978) 665-5800
Fax: (978) 665-5802
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 47714 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 47714 | Massachusetts |
Profile Details
| NPI number | 1003817560 |
|---|---|
| LBN Legal business name | Chudolij, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Dec 11th, 2007 - about 17 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 | 1003817560 | NPPES |
| Massachusetts | MEDICAID | 0194298 |
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