Chudow, Clara Jean

Chudow, Clara Jean is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-5210. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Chudow, Clara Jean can be contacted via phone (570) 271-6301.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-5210
Phone: (570) 271-6301
Fax: (570) 271-5976
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD432692 Pennsylvania

Profile Details

NPI number 1053300228
LBN Legal business name Chudow, Clara Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jun 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053300228 NPPES
New York MEDICAID 00944858

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