Provider Demographics
NPI:1508091158
Name:CHODAKEWITZ, JEFFFREY ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFFREY
Middle Name:ALLAN
Last Name:CHODAKEWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 STRAWBERRY HILL ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02030-2253
Mailing Address - Country:US
Mailing Address - Phone:215-264-3784
Mailing Address - Fax:
Practice Address - Street 1:3810 SECONDWOODS RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-5454
Practice Address - Country:US
Practice Address - Phone:215-264-3784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD047395L207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease