MEDICARE: DR. SOLA CHOI M.D.

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	207N00000X	Dermatology Physician	223259	MA
2	207N00000X	Dermatology Physician	25MA08115300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5514825	OTHER	MA	CIGNA
2	J29020	OTHER	MA	BC/BS OF MA
3	98105	OTHER	MA	FALLON COMMUNITY HEALTH P
4	MC0577152A	OTHER	MA	STATE CONTROLLED SUBSTANC
5	0017817	OTHER	MD	NHP-MA
6	AA38708	OTHER	MA	HARVARD PILGRIM HEALTH CA
7	3803023	OTHER	MA	AETNA/US HEALTHCARE
8	167481	OTHER	NY	PREFERRED CARE NY
9	468469	OTHER	MA	TUFTS HEALTH PLAN

General Provider Information

NPI Number	:	1588644017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOLA CHOI M.D.

Provider Business Mailing Address
First Line	:	419 N HARRISON ST
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-3521
Country	:	US
Telephone Number	:	609-924-9300
Fax Number	:	609-430-9481

Provider Business Practice Location Address
First Line	:	419 N HARRISON ST
Second Line	:
City	:	PRINCETON
State	:	NJ
Zip	:	08540-3521
Country	:	US
Telephone Number	:	609-924-9300
Fax Number	:	609-430-9481

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

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	03/07/2023

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Directions to “ DR. SOLA CHOI M.D.” Practice Location

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