Choi, In Sup

Choi, In Sup is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd, Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Choi, In Sup can be contacted via phone (781) 744-5100.

Contact Information

Primary practice address
Lahey Clinic 41 Mall Rd Burlington MA 01805-0001
Phone: (781) 744-5100
Fax: (781) 744-5630
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 41475 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 41475 Massachusetts

Profile Details

NPI number 1417012360
LBN Legal business name Choi, In Sup
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Jan 8th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417012360 NPPES
Massachusetts MEDICAID 3099121

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