Individual
DR. STUART M CHUDNOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
163 LAKE SHORE DR, RANCHO MIRAGE, CA 92270-4055
(831) 596-4988
Mailing address
163 LAKE SHORE DR, RANCHO MIRAGE, CA 92270-4055
(831) 596-4988
Taxonomy
Speciality
Code
Description
License number
State
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
C37177
CA
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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