Provider Demographics
NPI:1821182916
Name:CHOREMIS, JOHANNA (MD)
Entity Type:Individual
Prefix:
First Name:JOHANNA
Middle Name:
Last Name:CHOREMIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 EDGEHILL
Mailing Address - Street 2:
Mailing Address - City:WESTMOUNT
Mailing Address - State:QC
Mailing Address - Zip Code:H3Y1E9
Mailing Address - Country:CA
Mailing Address - Phone:514-340-3937
Mailing Address - Fax:
Practice Address - Street 1:8000 DECARIE BLVD
Practice Address - Street 2:SUITE 440
Practice Address - City:MONTREAL
Practice Address - State:QC
Practice Address - Zip Code:H4P2S4
Practice Address - Country:CA
Practice Address - Phone:514-340-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220512207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology