Individual provider · Type 1 NPI
Roman Walter Chornodolsky, MD
General Practice Physician · Ho-Ho-Kus, NJ
NPI number
1861796476
Active
Practice location
76 Arbor Drive
Ho-Ho-Kus, NJ 07423-1663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 25MA04588500 (NJ) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1861796476
Roman Walter Chornodolsky, MD's National Provider Identifier is 1861796476, issued on Dec 23, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ho-Ho-Kus, NJ. The record was last updated on Dec 23, 2010.