Organization
CHANG SONG CHOI MD PC
Active
Parent organization
CHANG SONG CHOI MD PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHANG SONG CHOI MD PC
Authorized official
MR. CHANG SONG CHOI MD (MD OWNER)
(860) 589-6919
Entity
Organization
Contact information
Practice address
46 GOODWIN ST, BRISTOL, CT 06010
(860) 589-6919
(860) 582-2890
Mailing address
PO BOX 1239, BRISTOL, CT 06011-1239
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
015857
CT
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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