Individual
DR. DOUGLAS WALTER CHUDZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 VILLAGE CT, HAZLET, NJ 07730
(732) 264-1212
(732) 888-5452
Mailing address
31 VILLAGE CT, HAZLET, NJ 07730
(732) 264-1212
(732) 888-5452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA03117000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1282808
—
NJ
Enumeration date
07/08/2006
Last updated
10/04/2010
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