Individual
GEORGE CHUDOLIJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
326 NICHOLS RD, SUITE 16, FITCHBURG, MA 01420-1914
(978) 665-5800
(978) 665-5802
Mailing address
PO BOX 3008, LEWISTON, ME 04243-3008
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
47714
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
47714
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194298
—
MA
Enumeration date
08/09/2005
Last updated
12/11/2007
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