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NPI Code Detail

MEDICARE: DR. SOON CHAE CHOI MD

MEDICARE:  DR. SOON CHAE CHOI  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
1207X00000XOrthopaedic Surgery PhysicianMA26812NJ

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 : 1699778464
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOON CHAE CHOI MD
Provider Business Mailing Address
First Line : 1907 PARK AVE
Second Line : SUITE102
City : SOUTH PLAINFIELD
State : NJ
Zip : 07080-5530
Country : US
Telephone Number : 908-561-2122
Fax Number : 908-561-7582
Provider Business Practice Location Address
First Line : 1907 PARK AVE
Second Line : STE 102
City : SOUTH PLAINFIELD
State : NJ
Zip : 07080-5530
Country : US
Telephone Number : 908-561-2122
Fax Number : 908-561-7582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 06/05/2008

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Directions to “ DR. SOON CHAE CHOI MD” Practice Location

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