# GARY CHODOROFF MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bingham Physical Medicine PLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871510768
- **Authorized official:** DR. GARY CHODOROFF M.D. (OWNER)
- **Authorized official phone:** (248) 647-1470

## Contact information

- **Practice address:** 30100 TELEGRAPH RD, SUITE 177, BINGHAM FARMS, MI 48025
- **Practice address phone:** (248) 647-1470
- **Practice address fax:** (248) 647-1472
- **Mailing address:** 30100 TELEGRAPH RD, SUITE 177, BINGHAM FARMS, MI 48025-4514
- **Mailing address phone:** (248) 647-1470
- **Mailing address fax:** (248) 647-1472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | GC046805 | MI | Yes |

## Other

- **Enumeration date:** 07/16/2006
- **Last updated:** 12/06/2013
