Individual
DR. MATTHEW DOUGLAS KOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. M.S.
Contact information
Practice address
ONE MEDICAL CENTER DR, DEPARTMENT OF ANESTHESIOLOGY AND CRITICAL CARE, LEBANON, NH 03756-0001
(603) 650-4642
Mailing address
ONE MEDICAL CENTER DR, DEPARTMENT OF ANESTHESIOLOGY AND CRITICAL CARE, LEBANON, NH 03756-0001
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
12109
NH
207P00000X
Emergency Medicine Physician
12109
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010198
—
VT
05
—
30204003
—
NH
Enumeration date
07/12/2006
Last updated
01/03/2008
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