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General NPI Number Information
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NPI Number | 1306924923
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Entity Type | Individual
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Provider Name | ALBERT W. CHO MD
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 620 W EDISON RD SUITE 110
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City | MISHAWAKA
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State | IN
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Zip | 46545-2784
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Country | US
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Telephone | 574-258-1100
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Fax | 574-258-1101
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Provider Business Mailing Address
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Address Line | 620 W EDISON RD SUITE 110
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City | MISHAWAKA
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State | IN
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Zip | 46545-2784
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Country | US
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Telephone | 574-258-1100
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Fax | 574-258-1101
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01063643A
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License Number State | IN
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