Provider Demographics
NPI:1871589374
Name:CHO, JASON J (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:J
Last Name:CHO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3459 NEELY RD
Mailing Address - Street 2:
Mailing Address - City:MCGUIRE AFB
Mailing Address - State:NJ
Mailing Address - Zip Code:08841
Mailing Address - Country:US
Mailing Address - Phone:609-754-9201
Mailing Address - Fax:
Practice Address - Street 1:3459 NEELY RD
Practice Address - Street 2:
Practice Address - City:MCGUIRE AFB
Practice Address - State:NJ
Practice Address - Zip Code:08841
Practice Address - Country:US
Practice Address - Phone:609-754-9201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD068203L2083A0100X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD-000Medicare UPIN