Dr. Mal Bong Choi
Endodontist
605 Broad Ave Suit # 203
Ridgefield
, New Jersey 07657-1697
Dr. Mal Bong Choi
Endodontist
605 Broad Ave Suit # 203
Ridgefield
, New Jersey 07657-1697
(718) 601-3964
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Mal Bong Choi
- 3530 Henry Hudson Pkwy Apt 1f
- Bronx, NY
- Zip : 10463-1306
- Fax : (718) 601-3964
- Phone : (646) 763-1145
Second Address
- Dr. Mal Bong Choi
- 605 Broad Ave Suit # 203
- Ridgefield, NJ
- Zip : 07657-1697
- Fax : (201) 943-9485
- Phone : (201) 943-9424
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 22DI01912300 | NJ |
National Provider Identifier
| NPI | 1063671022 |
|---|---|
| Provider Name | Dr. Mal Bong Choi |
| First Address | Bronx, NY 10463-1306 |
| Second Address | Ridgefield, NJ 07657-1697 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2008 |
| Last Update Date | 15/12/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.