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Individual

JOHN J CHOI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
261619
NY
208C00000X
Colon & Rectal Surgery Physician
261619
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03354143
NY
01
0A1095060
BLUE SHIELD PROVIDER NUMBER
CA
Enumeration date
09/21/2009
Last updated
08/23/2018
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