Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 64771 | AZ |
Y | 207P00000X | Emergency Physician | MD470300 | PA |
NPI | 1003266792 |
---|---|
Provider Name | Joseph Choi |
First Address | Dresher, PA 19025-1515 |
Second Address | Phoenix, AZ 85015-2443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2016 |
Last Update Date | 13/01/2022 |