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Individual

DR. ROBERT HUDSON

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(330) 297-2765
Mailing address
9 PITKIN DR, HUDSON, OH 44236-2263
(330) 297-2765

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35-052814
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35-052814
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000243549
ANTHEM PROVIDER NUMBER
OH
05
0736092
OH
Enumeration date
06/15/2006
Last updated
09/11/2025
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