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Contact Information

CHARLES H CHODOROW, DO
1350 S HICKORY ST
DEPT. OF PATHOLOGY
MELBOURNE, FL32901-3278
 Phone: 321-434-7000
 Fax: 321-434-5295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for CHARLES H CHODOROW · (Male)

NPI # 1619959657
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/16/2005
Last updated 09/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • FL License # OS6659
  • FL Medicaid 377015000
  • FL Other 80896V MEDICARE - HF
Hospital affiliation(s)
  • CAPE CANAVERAL HOSPITAL - (Acute Care)
    701 W COCOA BEACH CAUSEWAY
    COCOA BEACH, FL 32932
  • HOLMES REGIONAL MEDICAL CENTER - (Acute Care)
    1350 S HICKORY ST
    MELBOURNE, FL 32901
  • PALM BAY HOSPITAL - (Acute Care)
    1425 MALABAR RD, NE
    PALM BAY, FL 32907
  • VIERA HOSPITAL - (Acute Care)
    8745 N WICKHAM RD
    MELBOURNE, FL 32940
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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