Provider Demographics
NPI:1639308067
Name:CHOI, RICHARD K (D O)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:K
Last Name:CHOI
Suffix:
Gender:M
Credentials:D O
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Mailing Address - Street 1:200 HYGEIA DRIVE
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:215-349-8466
Mailing Address - Fax:215-349-5579
Practice Address - Street 1:4755 OGLETOWN STANTON RD
Practice Address - Street 2:SECTION OF NEUROSCIENCES, SUITE 1E90
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-2200
Practice Address - Country:US
Practice Address - Phone:302-733-5982
Practice Address - Fax:302-733-6081
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2020-02-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DEC2-00108562084N0400X, 2084A2900X
PAOS0160532084N0400X
RILP018052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology