Provider Demographics
NPI:1588644017
Name:CHOI, SOLA (MD)
Entity Type:Individual
Prefix:DR
First Name:SOLA
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SOLA
Other - Middle Name:
Other - Last Name:CHENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:419 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3521
Mailing Address - Country:US
Mailing Address - Phone:609-924-9300
Mailing Address - Fax:609-430-9481
Practice Address - Street 1:419 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3521
Practice Address - Country:US
Practice Address - Phone:609-924-9300
Practice Address - Fax:609-430-9481
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA223259207N00000X
NJ25MA08115300207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5514825OtherCIGNA
MAJ29020OtherBC/BS OF MA
MA98105OtherFALLON COMMUNITY HEALTH P
MAMC0577152AOtherSTATE CONTROLLED SUBSTANC
MD0017817OtherNHP-MA
MAAA38708OtherHARVARD PILGRIM HEALTH CA
MA3803023OtherAETNA/US HEALTHCARE
NY167481OtherPREFERRED CARE NY
MA468469OtherTUFTS HEALTH PLAN
MA468469OtherTUFTS HEALTH PLAN
MAAA38708OtherHARVARD PILGRIM HEALTH CA
MAI41141Medicare UPIN