Chudzik, Douglas Walter
Chudzik, Douglas Walter is an sole proprietor health care provider with primary practice located at 31 Village Ct , Hazlet NJ 07730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Chudzik, Douglas Walter can be contacted via phone (732) 264-1212.Contact Information
Primary practice address
31 Village Ct
Hazlet NJ 07730
Phone: (732) 264-1212
Fax: (732) 888-5452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA03117000 | New Jersey |
Profile Details
| NPI number | 1477586931 |
|---|---|
| LBN Legal business name | Chudzik, Douglas Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Oct 4th, 2010 - about 15 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 | 1477586931 | NPPES |
| New Jersey | MEDICAID | 1282808 |
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