Healthcare Provider Details

I. General information

NPI: 1952360810
Provider Name (Legal Business Name): SUNNY DORIS CHOI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 N VAN DIEN AVE
RIDGEWOOD NJ
07450-2726
US

IV. Provider business mailing address

500 W MAIN ST SUITE 16
WYCKOFF NJ
07481-1439
US

V. Phone/Fax

Practice location:
  • Phone: 201-447-8350
  • Fax:
Mailing address:
  • Phone: 201-847-9403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMA 48824
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: