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Individual

MICHAEL SANG JOON CHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
813 MANTEO ST APT 4, NORFOLK, VA 23507-1625
(703) 286-9477
Mailing address
813 MANTEO ST APT 4, NORFOLK, VA 23507-1625
(703) 286-9477

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101242142
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134324080
VA
01
11752378
CAQH NUMBER
VA
01
MT049433T
LICENSE
PA
01
P00433984
RAILROAD MEDICARE
VA
Enumeration date
06/20/2007
Last updated
01/15/2009
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