Most Relevant Information
Provider Data
| NPI Number: | 1003460486 |
| Provider Name: | CASEY YEONJOO CHO APN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ00951700 |
Most Important Dates
| Enumeration Date: | 07/24/2019 |
| Last Updated: | 04/20/2020 |
Provider Practice Location
201 LYONS AVE
NEWARK
NJ
071122027
Practice Location Phone/Fax
| Phone: | 9739266938 |
| Fax: |
Provider Mailing Location
201 LYONS AVE
NEWARK
NJ
071122027
Provider Mailing Phone/Fax
| Phone: | 9739266938 |
| Fax: |