Provider Demographics
NPI:1457363681
Name:CHO, LWIN MAR (MD)
Entity Type:Individual
Prefix:
First Name:LWIN
Middle Name:MAR
Last Name:CHO
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:451 CLARKSON AVE
Mailing Address - Street 2:E BUILDING, GERIATRICS CLINIC
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2054
Mailing Address - Country:US
Mailing Address - Phone:718-245-3201
Mailing Address - Fax:718-245-5560
Practice Address - Street 1:451 CLARKSON AVE
Practice Address - Street 2:E BUILDING, GERIATRICS CLINIC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2054
Practice Address - Country:US
Practice Address - Phone:718-245-3201
Practice Address - Fax:718-245-5560
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY240650207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine