Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA08267500 | NJ |
NPI | 1093910259 |
---|---|
Provider Name | Dr. Irene Cho |
First Address | Berkeley Heights, NJ 07922-2104 |
Second Address | Clark, NJ 07066-1687 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 02/03/2021 |