Individual
DR. KOEL GUHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 PLAINSBORO RD, CHOP CARE NETWORK AT PRINCETON MEDICAL CENTER, PLAINSBORO, NJ 08536-1913
(609) 853-7000
(609) 497-4137
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9234
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125-05-08-00
IL
208000000X
Pediatrics Physician
Primary
25MA08622700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125-05-08-00
TEMPORARY LICENSE
IL
Enumeration date
08/22/2008
Last updated
05/24/2013
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