George Chudolij
Anesthesiologist
326 Nichols Rd Suite 16
Fitchburg
, Massachusetts 01420-1914
George Chudolij
Anesthesiologist
326 Nichols Rd Suite 16
Fitchburg
, Massachusetts 01420-1914
(207) 753-2020
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About
Features
Specialties
- Anesthesiologist
Languages spoken
- English
Location
First Address
- George Chudolij
- Po Box 3008
- Lewiston, ME
- Zip : 04243-3008
- Fax : (207) 753-2020
- Phone : (800) 720-1664
Second Address
- George Chudolij
- 326 Nichols Rd Suite 16
- Fitchburg, MA
- Zip : 01420-1914
- Fax : (978) 665-5802
- Phone : (978) 665-5800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207L00000X | Anesthesiologist | 47714 | MA |
National Provider Identifier
| NPI | 1003817560 |
|---|---|
| Provider Name | George Chudolij |
| First Address | Lewiston, ME 04243-3008 |
| Second Address | Fitchburg, MA 01420-1914 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2005 |
| Last Update Date | 11/12/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0194298 | (05) | MA |
| A66686 | (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.