Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MA065067 | NJ |
NPI | 1083609069 |
---|---|
Provider Name | Dr. Niles Choper |
First Address | Lakewood, NJ 08701-4509 |
Second Address | Lakewood, NJ 08701-4509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2005 |
Last Update Date | 01/11/2007 |