Provider Demographics
NPI:1619785631
Name:HUDSON, CHARLES JOSEPH IV (CP)
Entity type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:JOSEPH
Last Name:HUDSON
Suffix:IV
Gender:M
Credentials:CP
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Mailing Address - Street 1:7421 W HOLLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WILLARDS
Mailing Address - State:MD
Mailing Address - Zip Code:21874-1288
Mailing Address - Country:US
Mailing Address - Phone:443-523-4079
Mailing Address - Fax:
Practice Address - Street 1:1502 PEMBERTON DR UNIT E
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2475
Practice Address - Country:US
Practice Address - Phone:443-667-2515
Practice Address - Fax:443-228-4598
Is Sole Proprietor?:No
Enumeration Date:2024-12-23
Last Update Date:2025-02-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist