Individual
DR. HAENG KO
Active
Individual
DR. HAENG KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA02965000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080346000
IBC
PA
01
—
110857C2B
MEDICARE BILLING NUMBER
NJ
01
—
125884000
KEYSTONE
PA
01
—
4090818
AETNA
PA
Enumeration date
08/31/2006
Last updated
10/23/2007
Update your record
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