Organization
DAVID P CHODIRKER MD
Active
Parent organization
DAVID P CHODIRKER MD
Other names
dba Family Care Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAVID P CHODIRKER MD
Authorized official
DAVID P CHODIRKER MD (PHYSICIAN SOLE PROPRIETOR)
(781) 235-7900
Entity
Organization
Contact information
Practice address
173 WORCESTER STREET, WELLESLEY, MA 02481-5521
(781) 235-7900
(781) 237-9930
Mailing address
173 WORCESTER STREET, WELLESLEY, MA 02481-5521
(781) 235-7900
(781) 237-9930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
74617
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103579
CIGNA
—
01
—
0452115
AETNA US HEALTHCARE HMO
—
01
—
074617
TUFTS
—
01
—
1972504504
NPI NUMBER
—
05
—
3084884
—
MA
01
—
34586
FALLON COMMUNITY HP
—
01
—
4199853
AETNA US HEALTHCARE
—
01
—
487784800
US DEPT OF LABOR WORKERS
—
01
—
71194
HPHC
—
01
—
74617
MEDICAL LICENSE
—
01
—
J11610
BCBS
—
01
—
M18640
BCBS
—
Enumeration date
06/21/2006
Last updated
06/25/2008
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