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Contact Information

JISUN CHA, MD
65 BROADWAY STE 1606
NEW YORK, NY10006-2562
 Phone: 267-737-8655
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JISUN CHA · (Female)

NPI # 1194950683
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2009
Last updated 09/23/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA09071200
  • NY License # 266475
  • PA License # MD465852
  • RI License # MA09071200
  • RI License # MD12915
  • NJ Medicaid 0315176
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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