Individual
DR. AMY BETH KOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
80792
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300324
UNITED HEALTHCARE PROV NO
MD
01
—
070011714
RAILROAD MEDICARE PROV NO
MA
01
—
080792
TUFTS PROVIDER NO
MA
01
—
4736
HARVARD PILGRIM PROV NO
MA
01
—
B20338701
CIGNA PROV NO
MA
01
—
J16230
BLUE CROSS BLUE SHIELD NO
MA
01
—
MA0019324
CHAMPUSPROVIDER NO.
MA
Enumeration date
09/30/2005
Last updated
07/25/2011
Update your record
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