Individual
CARL KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN, CRNA
Contact information
Practice address
140 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 718-5800
(973) 829-4332
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14308100
NJ
367500000X
Certified Registered Nurse Anesthetist
26NJ00486500
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR14308100
NJ
Other
Enumeration date
01/02/2014
Last updated
12/27/2024
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