| Seokkoon Cho Sole Mbr | |
|
121 Cedar Ln Suite 3d Teaneck NJ 07666-4457 | |
| (201) 562-4736 | |
| Not Available |
| Full Name | Seokkoon Cho Sole Mbr |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 121 Cedar Ln, Teaneck, New Jersey |
| Authorized Official Name and Position | Seokkoon Cho (PSYCHIATRIST) |
| Authorized Official Contact | 2015624736 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seokkoon Cho Sole Mbr 121 Cedar Ln Suite 3d Teaneck NJ 07666-4457 Ph: (201) 562-4736 | Seokkoon Cho Sole Mbr 121 Cedar Ln Suite 3d Teaneck NJ 07666-4457 Ph: (201) 562-4736 |
| NPI Number | 1083852313 |
|---|---|
| Provider Enumeration Date | 01/23/2009 |
| Last Update Date | 12/30/2012 |
| Medicare PECOS PAC ID | 5799821278 |
|---|---|
| Medicare Enrollment ID | O20091014000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083852313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA08334100 (New Jersey) | Primary |
| Provider Name | Seokkoon Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740487628 PECOS PAC ID: 3072659556 Enrollment ID: I20091014000443 |
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