Individual
BRYAN YOONSOK CHOI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 854-2504
(041) 854-2519
Mailing address
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19904-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C1-0013708
DE
207P00000X
Emergency Medicine Physician
LP01348
RI
207P00000X
Emergency Medicine Physician
Primary
MD13974
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07/24/2012
BCBS
RI
01
—
08/21/12
TUFTS HEALTH PLAN
RI
01
—
08/24/12
HEALTHNET FED SERVICES
RI
01
—
09/13/2012
NHPRI
RI
05
—
110093075A
—
MA
05
—
BC89597
—
RI
Enumeration date
06/10/2008
Last updated
05/12/2020
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