Organization
NEUROLOGY, NEURODIAGNOSTIC & PAIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHOCK TSERING MD (DOCTOR)
(704) 283-8811
Entity
Organization
Contact information
Practice address
1414 ELLEN ST, MONROE, NC 28112-5173
(704) 283-8811
(704) 283-2980
Mailing address
PO BOX 734, MONROE, NC 28111-0734
(704) 283-8811
(704) 283-2980
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89129YA
—
NC
01
—
DD4074
RAILROAD MEDICARE
NC
Enumeration date
07/29/2006
Last updated
04/29/2008
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