Individual
DR. EUGENE MYUNG KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 537-8177
Mailing address
240 S 40TH ST, PHILADELPHIA, PA 19104-6030
(215) 573-8177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901021194
MI
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
056653
NY
1223P0106X
Oral and Maxillofacial Pathology Dentistry
2901021194
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2901021194
MI
Other
Enumeration date
04/27/2010
Last updated
10/21/2025
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