Provider Demographics
NPI:1174598742
Name:CHOI, YOON H (MD)
Entity type:Individual
Prefix:MR
First Name:YOON
Middle Name:H
Last Name:CHOI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:ONE PEARL STREET
Mailing Address - Street 2:STE 2200
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301
Mailing Address - Country:US
Mailing Address - Phone:508-897-6055
Mailing Address - Fax:508-897-6157
Practice Address - Street 1:ONE PEARL STREET
Practice Address - Street 2:STE 2200
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:508-897-6055
Practice Address - Fax:508-897-6157
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2009-06-24
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Provider Licenses
StateLicense IDTaxonomies
MA206555207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0134678Medicaid
MA0134678Medicaid
H36810Medicare UPIN
MAH36810Medicare UPIN