Individual provider · Type 1 NPI

Chase Kenneth Hudak, MD

Student in an Organized Health Care Education/Training Program · Elizabeth, NJ

NPI number 1669111928 Active

Practice location

655 E Jersey St
Elizabeth, NJ 07206-1259

Mailing address

3037 Kingston Cir
Silver Lake, OH 44224-3113

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669111928

Chase Kenneth Hudak, MD's National Provider Identifier is 1669111928, issued on Jun 3, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Elizabeth, NJ. The record was last updated on Jun 8, 2022.