Individual
AUGUSTUS KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 LANSDOWNE AVE, DARBY, PA 19023-1200
(610) 237-4684
Mailing address
322 BELGRADE ST, PHILADELPHIA, PA 19125-4404
(208) 755-0252
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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