MEDICARE: DR. RENEE HUDECHECK, P. C.

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	261QM2500X	Medical Specialty Clinic/Center	4627	NJ

General Provider Information

NPI Number	:	1790985943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. RENEE HUDECHECK, P. C.

Provider Business Mailing Address
First Line	:	3800 QUAKERBRIDGE RD
Second Line	:	SUITE 10
City	:	HAMILTON
State	:	NJ
Zip	:	08619-1010
Country	:	US
Telephone Number	:	609-584-9090
Fax Number	:

Provider Business Practice Location Address
First Line	:	3800 QUAKERBRIDGE RD
Second Line	:	SUITE10
City	:	HAMILTON
State	:	NJ
Zip	:	08619-1010
Country	:	US
Telephone Number	:	609-584-9090
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RENEE HUDECHECK
Credential	:	O. D.
Telephone Number	:	609-584-9090

Provider Enumeration Date	:	07/24/2007
Last Update Date	:	10/29/2008

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