Individual
LAUREN KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 BEAUVOIR AVE, BOX 270, SUMMIT, NJ 07901-3533
(908) 522-5963
Mailing address
18 CRESCENT PL, SHORT HILLS, NJ 07078-3411
(513) 313-8099
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
08/27/2011
Last updated
01/11/2016
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