Provider Demographics
NPI:1295058774
Name:KUN H CHO MD PA
Entity type:Organization
Organization Name:KUN H CHO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KUN
Authorized Official - Middle Name:HO
Authorized Official - Last Name:CHO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-393-3571
Mailing Address - Street 1:40 FULD ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-5247
Mailing Address - Country:US
Mailing Address - Phone:609-393-3571
Mailing Address - Fax:609-989-1153
Practice Address - Street 1:40 FULD ST
Practice Address - Street 2:SUITE 200
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638-5247
Practice Address - Country:US
Practice Address - Phone:609-393-3571
Practice Address - Fax:609-989-1153
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1294105Medicaid
20376OtherAMERGROUP
91000336701OtherAMERICHOICE
P62250338OtherOXFORD
NJ0089286000OtherAMERIHEALTH
NJOK7788OtherHEALTHNET
TID4576971OtherPRUCARE
1024979OtherHMOBLUE
NJ366.4206OtherCIGNA
NJ7185OtherAETNA
NJOK7788OtherHEALTHNET
NJ175061Medicare PIN