# EDWARD G. KOCH, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700060407
- **Authorized official:** DR. EDWARD G KOCH M.D. (OWNER)
- **Authorized official phone:** (703) 288-0794

## Contact information

- **Practice address:** 6707 OLD DOMINION DR, SUITE 300, MC LEAN, VA 22101-4504
- **Practice address phone:** (703) 288-0794
- **Practice address fax:** (703) 288-0796
- **Mailing address:** 6707 OLD DOMINION DR, SUITE 300, MC LEAN, VA 22101-4504
- **Mailing address phone:** (703) 288-0794
- **Mailing address fax:** (703) 288-0796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101023302 | VA | Yes |

## Other

- **Enumeration date:** 12/18/2007
- **Last updated:** 10/07/2010