Dr John Richard Hudak, DC | |
530 Main St, Suite 2, Fort Lee, NJ 07024 | |
(201) 592-6200 | |
(201) 592-6401 |
Full Name | Dr John Richard Hudak |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 22 Years |
Location | 530 Main St, Fort Lee, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073686861 | NPI | - | NPPES |
0098248 | Medicaid | NJ | |
681841 | Other | NJ | ACN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00607400 (New Jersey) | Primary |
Provider Name | Shoreline Chiropractic Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780031708 PECOS PAC ID: 4789979501 Enrollment ID: O20160818000742 |
Mailing Address | Practice Location Address |
---|---|
Dr John Richard Hudak, DC 157 West 32nd Street, Bayonne, NJ 07002 Ph: (551) 208-1088 | Dr John Richard Hudak, DC 530 Main St, Suite 2, Fort Lee, NJ 07024 Ph: (201) 592-6200 |
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