Brian Koch
NPI #1972998417 in Glen Ridge, New Jersey
Provider Information
- NPI Number
- 1972998417
- Entity Type
- Individual
- Name
- Brian Koch
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Apr 1, 2015
- Last Updated
- Sep 20, 2022
Practice Location
- Address
- 1 BAY ST
- City
- Glen Ridge
- State
- New Jersey
- ZIP Code
- 07028-1505
- Phone
- (925) 595-1994
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Emergency Medicine |
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