# CHANG SONG CHOI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHANG SONG CHOI MD PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992983076
- **Legal business name:** CHANG SONG CHOI MD PC
- **Authorized official:** MR. CHANG SONG CHOI MD (MD OWNER)
- **Authorized official phone:** (860) 589-6919

## Contact information

- **Practice address:** 46 GOODWIN ST, BRISTOL, CT 06010
- **Practice address phone:** (860) 589-6919
- **Practice address fax:** (860) 582-2890
- **Mailing address:** PO BOX 1239, BRISTOL, CT 06011-1239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 015857 | CT | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 01/31/2008