Provider Demographics
NPI:1801061809
Name:CHO, STEPHANIE J (MD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:J
Last Name:CHO
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:SPAULDING REHABILITATION HOSPITAL
Mailing Address - Street 2:300 FIRST AVENUE, SUITE 2105
Mailing Address - City:CHARLESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02129
Mailing Address - Country:US
Mailing Address - Phone:617-952-6220
Mailing Address - Fax:
Practice Address - Street 1:SPAULDING REHABILITATION HOSPITAL
Practice Address - Street 2:300 FIRST AVENUE, SUITE 2105
Practice Address - City:CHARLESTON
Practice Address - State:MA
Practice Address - Zip Code:02129
Practice Address - Country:US
Practice Address - Phone:617-952-6220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA224763208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation