| Eden Pharmacology Center | |
|
481 N Frederick Ave Ste 103 Gaithersburg MD 20877-2470 | |
| (301) 298-9890 | |
| (301) 869-9909 |
| Full Name | Eden Pharmacology Center |
|---|---|
| Speciality | Family Medicine |
| Location | 481 N Frederick Ave Ste 103, Gaithersburg, Maryland |
| Authorized Official Name and Position | Jiho Choi (OWNER/STAFF PHYSICIAN) |
| Authorized Official Contact | 3012989890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Pharmacology Center 481 N Frederick Ave Ste 103 Gaithersburg MD 20877-2470 Ph: (301) 338-8119 | Eden Pharmacology Center 481 N Frederick Ave Ste 103 Gaithersburg MD 20877-2470 Ph: (301) 298-9890 |
| NPI Number | 1235908245 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 8729422993 |
|---|---|
| Medicare Enrollment ID | O20240215001313 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235908245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Jiho Choi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225149859 PECOS PAC ID: 8820097637 Enrollment ID: I20131017000676 |
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