Individual
ENRIQUE KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 W HIGH ST, EBENSBURG, PA 15931-1706
(814) 472-7933
(814) 472-2301
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD052898L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014671780003
—
PA
Enumeration date
06/14/2005
Last updated
03/13/2014
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