Provider Demographics
NPI:1467689018
Name:CHOI, CATHERINE HELEN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:HELEN
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 MARTER AVE STE 501
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3120
Mailing Address - Country:US
Mailing Address - Phone:856-724-2693
Mailing Address - Fax:856-724-2673
Practice Address - Street 1:110 MARTER AVE STE 501
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3120
Practice Address - Country:US
Practice Address - Phone:856-724-2693
Practice Address - Fax:856-724-2673
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09511200207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1467689018OtherNPI
NJ25MA09511200OtherSTATE LICENSE