Individual
TINA CHOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1033 CLIFTON AVE STE 107, CLIFTON, NJ 07013-3517
(973) 472-6405
Mailing address
1033 CLIFTON AVE STE 107, CLIFTON, NJ 07013-3517
(973) 472-6405
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00701600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27OA00701600
OPTOMETRY LICENSE
NJ
Enumeration date
12/21/2020
Last updated
12/21/2020
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