Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 25MA04078000 | NJ |
NPI | 1013925031 |
---|---|
Provider Name | Jay J Choi |
First Address | Fort Lee, NJ 07024-6604 |
Second Address | Saddle Brook, NJ 07663-6408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 07/11/2015 |