Provider Demographics
NPI:1316544620
Name:CHOI, HANSOL (PA-C)
Entity Type:Individual
Prefix:
First Name:HANSOL
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10 PLUM ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-2066
Mailing Address - Country:US
Mailing Address - Phone:732-235-6333
Mailing Address - Fax:732-565-9744
Practice Address - Street 1:10 PLUM ST FL 5
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2066
Practice Address - Country:US
Practice Address - Phone:732-235-6333
Practice Address - Fax:732-565-9744
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY025768363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical