Provider Demographics
NPI:1467480848
Name:CHODROFF, CHARLES H (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:H
Last Name:CHODROFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-1700
Mailing Address - Fax:717-851-1710
Practice Address - Street 1:3065 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:RED LION
Practice Address - State:PA
Practice Address - Zip Code:17356-8533
Practice Address - Country:US
Practice Address - Phone:717-851-1700
Practice Address - Fax:717-851-1710
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028272E207RG0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01100303OtherCAPITAL BLUE CROSS-WMG
PA5123089OtherAETNA
MD543742OtherCAREFIRST MD BCBS
PAP002864OtherGATEWAY-WMG
PA100438OtherGEISINGER
PA1142366OtherAMERIHEALTH MERCY-WMG
PA000978620Medicaid
PA238923OtherMAMSI-WMG
PA80772OtherUNISON-WMG
PA090547OtherHIGHMARK BLUE SHIELD
PA30073OtherJOHNS HOPKINS
PA100438OtherGEISINGER
PA238923OtherMAMSI-WMG
PA110149712Medicare PIN