Individual
MICHAEL KOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(856) 342-2000
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD454906
PA
207P00000X
Emergency Medicine Physician
MT202234
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA10093500
NJ
Other
Enumeration date
08/15/2012
Last updated
07/16/2019
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