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General NPI Number Information
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NPI Number | 1770957946
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Entity Type | Organization
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Legal Business Name | DOCTOR MARGARITA CHUDNER
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Dates
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Enumeration Date | 11/25/2015
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 55 BRUNSWICK WOODS DR
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5601
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Country | US
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Telephone | 732-927-1224
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Fax | 732-832-2946
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Provider Business Mailing Address
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Address Line | 55 BRUNSWICK WOODS DR
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5601
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Country | US
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Telephone | 732-927-1224
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Fax | 732-832-2946
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. MARGARITA CHUDNER
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Credential | MD
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Telephone | 732-927-1224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 25MA09157500
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License Number State | NJ
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