Provider Demographics
NPI:1164803391
Name:CHOI, SEO ANGELA (DO)
Entity type:Individual
Prefix:
First Name:SEO
Middle Name:ANGELA
Last Name:CHOI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:75 HOLLY HILL LN STE 201
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-2912
Mailing Address - Country:US
Mailing Address - Phone:203-276-2516
Mailing Address - Fax:203-276-2515
Practice Address - Street 1:75 HOLLY HILL LN STE 201
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-2912
Practice Address - Country:US
Practice Address - Phone:203-276-2516
Practice Address - Fax:203-276-2515
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT76784207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine