Basic Information
Provider Information
NPI: 1497013510
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHO
FirstName: DAVID
MiddleName: YOUNGWOOK
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 416457
Address2:  
City: BOSTON
State: MA
PostalCode: 022416547
CountryCode: US
TelephoneNumber: 8443621735
FaxNumber: 9732907495
Practice Location
Address1: 435 SOUTH ST STE 360
Address2:  
City: MORRISTOWN
State: NJ
PostalCode: 07960
CountryCode: US
TelephoneNumber: 9739717200
FaxNumber: 9732907521
Other Information
ProviderEnumerationDate: 04/26/2012
LastUpdateDate: 12/06/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X55240CTN Allopathic & Osteopathic PhysiciansSurgery 
2086S0127X55240CTY Allopathic & Osteopathic PhysiciansSurgeryTrauma Surgery

No ID Information.


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