Individual provider · NPI-1

Jennifer Choi-Blanco, M.D.

Internal Medicine · Vienna, VA

NPI number1063649440
StatusActive
Last updated in NPPESNov 27, 2023

Details

NPI
1063649440
Entity type
Individual (NPI-1)
Name
Jennifer Choi-Blanco
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2009
Certification date
Oct 15, 2020
Last updated
Nov 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine0101253850VAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

180 Maple Ave W
Vienna, VA 22180-5727

Phone 703-938-5300

Mailing address

180 Maple Ave W
Vienna, VA 22180-5727

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