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NPI Code Detail

MEDICARE: DR. EUNHEE CRYSTAL CHOI D.M.D

MEDICARE: DR. EUNHEE CRYSTAL CHOI D.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
11223P0221XPediatric DentistryDI022957NJ

General Provider Information

NPI Number : 1639155989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EUNHEE CRYSTAL CHOI D.M.D
Provider Business Mailing Address
First Line : 1 MARKET ST APT 333
Second Line :
City : CAMDEN
State : NJ
Zip : 08102-2313
Country : US
Telephone Number : 401-617-2143
Fax Number :
Provider Business Practice Location Address
First Line : 1602 LIBERTY PL
Second Line :
City : SICKLERVILLE
State : NJ
Zip : 08081-5705
Country : US
Telephone Number : 856-629-0577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 07/08/2007

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