MEDICARE: DAVID P. CHODIRKER 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	207Q00000X	Family Medicine Physician	74617	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	043196618	OTHER	GREAT WEST
2	4199853	OTHER	AETNA/US HEALTHCARE
3	0103579	OTHER	CIGNA
4	043196618	OTHER	INTEGRATED HEALTH PLANS
5	043196618	OTHER	UNITED HEALTHCARE
6	34586	OTHER	FALLON COMMUNITY HP
7	J11610	OTHER	BCBS-MA
8	043196618	OTHER	COMMONWEALTH INDEMNITY
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	043196618	OTHER	HCVM
11	0452115	OTHER	AETNA/US HEALTHCARE HMO
12	074617	OTHER	TUFTS
13	71194	OTHER	HPHC
14	043196618	OTHER	PHCS

General Provider Information

NPI Number	:	1972504504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID P. CHODIRKER MD

Provider Business Mailing Address
First Line	:	145 ROSEMARY STREET
Second Line	:	SUITE C
City	:	NEEDHAM
State	:	MA
Zip	:	02494-3259
Country	:	US
Telephone Number	:	781-235-7900
Fax Number	:	781-237-9930

Provider Business Practice Location Address
First Line	:	145 ROSEMARY STREET
Second Line	:	SUITE C
City	:	NEEDHAM
State	:	MA
Zip	:	02494-3259
Country	:	US
Telephone Number	:	781-235-7900
Fax Number	:	781-237-9930

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

Provider Enumeration Date	:	08/04/2005
Last Update Date	:	11/28/2025

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Directions to “ DAVID P. CHODIRKER MD” Practice Location

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