Dr. Richard Martin Chudacoff
Obstetrician & Gynecologist Gynecologist Female Pelvic Medicine and Reconstructive Surgeon and 2 more
101 2nd St
Lakewood
, New Jersey 08701-3324
Dr. Richard Martin Chudacoff
Obstetrician & Gynecologist Gynecologist Female Pelvic Medicine and Reconstructive Surgeon and 2 more
101 2nd St
Lakewood
, New Jersey 08701-3324
(702) 481-8808
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About
Features
Specialties
- Obstetrician & Gynecologist
- Female Pelvic Medicine and Reconstructive Surgeon
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Richard Martin Chudacoff
- 201-211 W Jersey St Apt 206
- Elizabeth, NJ
- Zip : 07202-1384
- Phone : (702) 481-8808
Second Address
- Dr. Richard Martin Chudacoff
- 101 2nd St
- Lakewood, NJ
- Zip : 08701-3324
- Fax : (806) 934-2984
- Phone : (806) 934-2983
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207V00000X | Obstetrician & Gynecologist | 0101266257 | VA |
| Y | 207V00000X | Obstetrician & Gynecologist | 25MA10635300 | NJ |
| N | 207V00000X | Obstetrician & Gynecologist | G70841 | CA |
| N | 207V00000X | Obstetrician & Gynecologist | K5869 | TX |
| N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | ME114379 | FL |
| N | 207VG0400X | Gynecologist | 12108 | NV |
National Provider Identifier
| NPI | 1740275064 |
|---|---|
| Provider Name | Dr. Richard Martin Chudacoff |
| First Address | Elizabeth, NJ 07202-1384 |
| Second Address | Lakewood, NJ 08701-3324 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2005 |
| Last Update Date | 18/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11340275064 | (05) | TX |
| G30006 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.