Provider Demographics
NPI:1033265491
Name:CHO, JENNIFER EUN SUN (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:EUN SUN
Last Name:CHO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 899
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:NJ
Mailing Address - Zip Code:07620-0899
Mailing Address - Country:US
Mailing Address - Phone:516-589-1071
Mailing Address - Fax:201-781-7822
Practice Address - Street 1:106 GRAND AVE STE 300
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-3565
Practice Address - Country:US
Practice Address - Phone:201-608-0670
Practice Address - Fax:201-781-7821
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY248247207V00000X
NJ25MA09785100207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology