| 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 | 24 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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