MEDICARE: JOAN Z CHOPER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MA065068	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154327971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN Z CHOPER MD

Provider Business Mailing Address
First Line	:	67 LACEY RD
Second Line	:	SUITE 5
City	:	WHITING
State	:	NJ
Zip	:	08759-2912
Country	:	US
Telephone Number	:	732-849-0707
Fax Number	:	732-849-0016

Provider Business Practice Location Address
First Line	:	67 LACEY RD
Second Line	:	SUITE 5
City	:	WHITING
State	:	NJ
Zip	:	08759-2912
Country	:	US
Telephone Number	:	732-849-0707
Fax Number	:	732-849-0016

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	09/18/2013

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Directions to “ JOAN Z CHOPER MD” Practice Location

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