Individual
DR. DONNA MARIE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
297 PASSAIC STREET, GARFIELD, NJ 07026
(973) 777-2293
(973) 777-9117
Mailing address
297 PASSAIC STREET, GARFIELD, NJ 07026
(973) 777-2293
(973) 777-9117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB069001
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9081101
—
NJ
Enumeration date
06/03/2006
Last updated
12/12/2011
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