Provider Demographics
NPI:1730752957
Name:CHO, SUNHYUNG
Entity type:Individual
Prefix:
First Name:SUNHYUNG
Middle Name:
Last Name:CHO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 RIDGEWOOD BLVD E
Mailing Address - Street 2:
Mailing Address - City:TOWNSHIP OF WASHINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07676-4647
Mailing Address - Country:US
Mailing Address - Phone:201-820-8447
Mailing Address - Fax:
Practice Address - Street 1:1638 SCHLOSSER ST STE D4
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5650
Practice Address - Country:US
Practice Address - Phone:201-585-8300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-24
Last Update Date:2021-11-17
Deactivation Date:2021-10-22
Deactivation Code:
Reactivation Date:2021-11-17
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00153100171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist