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NPI Code Detail

MEDICARE: DR. NANCY E CHOE OD

MEDICARE:  DR. NANCY E CHOE  OD
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
1152W00000XOptometrist27OA00595700NJ

Other Identifiers

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

General Provider Information

NPI Number : 1154417392
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NANCY E CHOE OD
Provider Business Mailing Address
First Line : 6206 CITY PL
Second Line :
City : EDGEWATER
State : NJ
Zip : 07020-3174
Country : US
Telephone Number : 267-974-7732
Fax Number :
Provider Business Practice Location Address
First Line : 30 MALL DR W
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07310-1615
Country : US
Telephone Number : 201-798-0303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 07/09/2007

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Directions to “ DR. NANCY E CHOE OD” Practice Location

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