Individual
DR. JOHN RICHARD HUDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
530 MAIN ST, SUITE 2, FORT LEE, NJ 07024
(201) 592-6200
(201) 592-6401
Mailing address
157 WEST 32ND STREET, BAYONNE, NJ 07002
(551) 208-1088
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00607400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0098248
—
NJ
01
—
681841
ACN
NJ
Enumeration date
11/17/2006
Last updated
07/08/2007
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