Individual
IN AE CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
71 2ND ST, SOUTH ORANGE, NJ 07079-1855
(973) 763-2203
Mailing address
71 2ND ST, SOUTH ORANGE, NJ 07079-1855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00682200
NJ
152W00000X
Optometrist
27OM00149600
NJ
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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