Provider Demographics
NPI:1295891380
Name:CHUD, LAURENCE STEPHEN (MD)
Entity type:Individual
Prefix:DR
First Name:LAURENCE
Middle Name:STEPHEN
Last Name:CHUD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:112 WABAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1048
Mailing Address - Country:US
Mailing Address - Phone:617-964-8021
Mailing Address - Fax:617-630-4461
Practice Address - Street 1:112 WABAN HILL RD
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1048
Practice Address - Country:US
Practice Address - Phone:617-964-8021
Practice Address - Fax:617-630-4461
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2015-03-23
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Provider Licenses
StateLicense IDTaxonomies
MA429112084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry