Individual
CHANG JOO SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3450
Mailing address
1000 10TH AVE, NEW YORK, NY 10019-1147
(212) 523-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA11729400
NJ
207P00000X
Emergency Medicine Physician
308986
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0909645
—
NJ
Enumeration date
04/13/2018
Last updated
09/26/2024
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