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Individual
ELSIE KOH
Active
Individual
ELSIE KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MA07546000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071850
MEDICARE - NJ
NJ
05
—
9122401
—
NJ
Enumeration date
02/17/2006
Last updated
10/21/2016
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