Individual
MRS. NICOLE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 CONNECTICUT AVE, STE 606, KENSINGTON, MD 20895-3910
(301) 942-2212
(301) 917-6501
Mailing address
2415 MUSGROVE RD 3105, SILVER SPRING, MD 20904-5202
(301) 989-0193
(301) 879-2325
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0003886
MD
Other
Enumeration date
10/28/2008
Last updated
12/09/2015
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