Individual
DR. GEORGE JOSEPH KOENIG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1100 WALNUT ST, SUITE 500, PHILADELPHIA, PA 19107-5563
(215) 955-6750
Mailing address
1100 WALNUT ST, SUITE 500, PHILADELPHIA, PA 19107-5563
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
H69369
MD
208600000X
Surgery Physician
H69369
MD
208600000X
Surgery Physician
Primary
OS014781
PA
208600000X
Surgery Physician
OT010389
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231724
—
NJ
05
—
023819800
—
MD
05
—
102494600
—
PA
Enumeration date
03/06/2008
Last updated
03/25/2015
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