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Individual
BON CHANG A. KOO
Active
Individual
BON CHANG A. KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
230774-1
NY
207RG0100X
Gastroenterology Physician
Primary
25MA09230600
NJ
Other
Enumeration date
04/16/2007
Last updated
04/29/2013
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