MEDICARE: YUN JI CHOO

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	183500000X	Pharmacist	28RI04057200	NJ

General Provider Information

NPI Number	:	1821636465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUN JI CHOO

Provider Business Mailing Address
First Line	:	1715 US HIGHWAY 46 APT 306
Second Line	:
City	:	PARSIPPANY
State	:	NJ
Zip	:	07054-2969
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 FORT LEE RD
Second Line	:
City	:	LEONIA
State	:	NJ
Zip	:	07605-1858
Country	:	US
Telephone Number	:	201-947-2073
Fax Number	:

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

Provider Enumeration Date	:	12/13/2019
Last Update Date	:	12/13/2019

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Directions to “ YUN JI CHOO ” Practice Location

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