Individual
DR. TIMOTHY RICHARD KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 IRVING ST NW STE 301, WASHINGTON, DC 20010
(202) 877-7788
(877) 680-8198
Mailing address
106 IRVING ST NW STE 301, WASHINGTON, DC 20010-2927
(202) 877-7788
(877) 680-8198
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101242696
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101242696
MEDICAL LICENSE NUMBER
VA
Enumeration date
12/07/2005
Last updated
11/06/2018
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