Healthcare Provider Details

I. General information

NPI: 1235428178
Provider Name (Legal Business Name): CATHERINE S CHOI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2011
Last Update Date: 07/11/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WASHINGTON ST # 450
BOSTON MA
02111
US

IV. Provider business mailing address

800 WASHINGTON ST BOX 450
BOSTON MA
02111-1552
US

V. Phone/Fax

Practice location:
  • Phone: 617-636-4677
  • Fax:
Mailing address:
  • Phone: 617-636-4677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician Physician
License Number263310
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number263310
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: