Provider Demographics
NPI:1114324308
Name:CHOE, MYONG SUN (MD)
Entity Type:Individual
Prefix:DR
First Name:MYONG SUN
Middle Name:
Last Name:CHOE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 AVALON DR UNIT 3306
Mailing Address - Street 2:
Mailing Address - City:WOOD RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07075-1024
Mailing Address - Country:US
Mailing Address - Phone:617-512-4571
Mailing Address - Fax:
Practice Address - Street 1:300 AVALON DR UNIT 3306
Practice Address - Street 2:
Practice Address - City:WOOD RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07075-1024
Practice Address - Country:US
Practice Address - Phone:617-512-4571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-03
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren