MEDICARE: DR. ROBERT J CHUGDEN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	015640	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659367357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT J CHUGDEN MD

Provider Business Mailing Address
First Line	:	1101 MEDICAL CENTER BLVD
Second Line	:	ATTN: HEIDI GWINN
City	:	MARRERO
State	:	LA
Zip	:	70072-3147
Country	:	US
Telephone Number	:	504-349-1297
Fax Number	:	504-349-1146

Provider Business Practice Location Address
First Line	:	1101 MEDICAL CENTER BLVD
Second Line	:	EMERGENCY DEPARTMENT
City	:	MARRERO
State	:	LA
Zip	:	70072-3147
Country	:	US
Telephone Number	:	504-349-1533
Fax Number	:	504-349-1530

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	01/06/2010

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