Individual
DR. CHASE KENNETH HUDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 E JERSEY ST, ELIZABETH, NJ 07206-1259
(330) 760-5089
Mailing address
3037 KINGSTON CIR, SILVER LAKE, OH 44224-3113
(330) 760-5089
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2022
Last updated
06/08/2022
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