Provider Demographics
NPI:1871868133
Name:CHANEY, JUDSON D (ND, MSAC)
Entity type:Individual
Prefix:DR
First Name:JUDSON
Middle Name:D
Last Name:CHANEY
Suffix:
Gender:M
Credentials:ND, MSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:144 WOODSTREAM CT
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1067
Mailing Address - Country:US
Mailing Address - Phone:203-767-0204
Mailing Address - Fax:
Practice Address - Street 1:101 BURRS RD
Practice Address - Street 2:SUITE C
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-5517
Practice Address - Country:US
Practice Address - Phone:609-702-7550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00056200171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist