Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | A93848 | CA |
Y | 207U00000X | Nuclear Medicine Specialist | MD462566 | PA |
NPI | 1134162803 |
---|---|
Provider Name | Dr. Esther Choi |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033-2360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 19/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A938480 | (05) | CA |
00A938480 | BLUE SHIELD (01) | CA |
I53989 | (02) | CA |