Yong Dae Cho in Fredericktown - Family Medicine
Yong Dae Cho - NPI 1023009198
Yong Dae Cho is a Family Medicine in Fredericktown, Pennsylvania. Yong Dae Cho practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Yong Dae Cho is 1023009198. The last update date is 2011-08-17.
Yong Dae Cho's current location address is 1070 Old National Pike, Fredericktown, Pennsylvania. You can contact this provider via phone number 7246326801 and fax number 7246326312. The mailing address for Yong Dae Cho is 1070 Old National Pike, Fredericktown, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Yong Dae Cho |
|---|---|
| Address | 1070 Old National Pike, Fredericktown, Pennsylvania |
| Phone Number | 7246326801 |
| Fax Number | 7246326312 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023009198 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2011-08-17 |
Provider Mailing Address Detail
| Address | 1070 Old National Pike |
|---|---|
| City | Fredericktown |
| State | Pennsylvania (PA) |
| Post Code | 153332114 |
| Phone Number | 7246326801 |
| Fax Number | 7246326312 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD033170L |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 127126 | PA | HIGHMARK BLUE SHIELD | |
| 1739438 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Yong Dae Cho by the Centers for Medicare & Medicaid Services?
The Yong Dae Cho has been assigned the NPI (National Provider Identifier) 1023009198. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Yong Dae Cho?
The Yong Dae Cho is situated at 1070 Old National Pike, in the city of Fredericktown, state of PA, with the zip code 153332114.
What is the Yong Dae Cho's specialty and taxonomy code?
The Yong Dae Cho's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1023009198 to Yong Dae Cho?
The Centers for Medicare & Medicaid Services assigned the 1023009198 to Yong Dae Cho on 2005-10-28.
When was the information related to Yong Dae Cho most recently updated or refreshed?
The details pertaining to the Yong Dae Cho, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-08-17.