Provider Demographics
NPI:1497352132
Name:CHOI, SUN (DACM)
Entity Type:Individual
Prefix:DR
First Name:SUN
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TOWNE CTR APT 512
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-2051
Mailing Address - Country:US
Mailing Address - Phone:551-795-3861
Mailing Address - Fax:
Practice Address - Street 1:1 TOWNE CTR APT 512
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-2051
Practice Address - Country:US
Practice Address - Phone:551-795-3861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00146600171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist