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Individual

DR. ALBERT W. CHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 W EDISON RD, SUITE 110, MISHAWAKA, IN 46545-2784
(574) 258-1100
(574) 258-1101
Mailing address
620 W EDISON RD, SUITE 110, MISHAWAKA, IN 46545-2784
(574) 258-1100
(574) 258-1101

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01063643A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A829510
CA
05
200860390
IN
Enumeration date
11/01/2006
Last updated
05/16/2013
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