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Individual
DREW KOCH
Active
Individual
DREW KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
246087
NY
207P00000X
Emergency Medicine Physician
Primary
OS006315L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02937915
—
NY
01
—
204489238
BLUE SHIELD
NY
01
—
777489238
BLUE SHIELD
NY
Enumeration date
08/17/2006
Last updated
02/26/2021
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