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Individual
REGINA MARIE KOCH
Active
Individual
REGINA MARIE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
246556
MA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
246556
MA
Other
Enumeration date
06/16/2008
Last updated
02/13/2017
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