Provider Demographics
NPI:1730246885
Name:DR. CHOI & ASSOICATES, LLC
Entity type:Organization
Organization Name:DR. CHOI & ASSOICATES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:SIMON
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-740-8500
Mailing Address - Street 1:973 RUSSELL AVE
Mailing Address - Street 2:# A
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3292
Mailing Address - Country:US
Mailing Address - Phone:301-740-8500
Mailing Address - Fax:301-740-8505
Practice Address - Street 1:973 RUSSELL AVE
Practice Address - Street 2:# A
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3292
Practice Address - Country:US
Practice Address - Phone:301-740-8500
Practice Address - Fax:301-740-8505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-01
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03473261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation