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Individual

DR. CHANGJIN SEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4502 DITMARS BLVD APT 503, ASTORIA, NY 11105-1353
(917) 478-7084
Mailing address
4502 DITMARS BLVD APT 503, ASTORIA, NY 11105-1353
(917) 478-7084

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101253838
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/09/2010
Last updated
01/31/2022
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