Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | I32695 | MD |
NPI | 1023056306 |
---|---|
Provider Name | Sandra Y Cho |
First Address | Glen Burnie, MD 21061-4980 |
Second Address | Glen Burnie, MD 21061-4980 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 30/03/2012 |