Provider Demographics
NPI:1972951788
Name:CHOI, DOO CHUL (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:DOO CHUL
Middle Name:
Last Name:CHOI
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 DESSER PL
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1706
Mailing Address - Country:US
Mailing Address - Phone:732-485-2704
Mailing Address - Fax:
Practice Address - Street 1:80 MAIDEN LN RM 1007
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4764
Practice Address - Country:US
Practice Address - Phone:212-386-7812
Practice Address - Fax:212-386-7813
Is Sole Proprietor?:No
Enumeration Date:2016-06-02
Last Update Date:2018-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005466171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist