Individual
ANDREW KOONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 E BROAD ST, HAZLETON, PA 18201-6835
(570) 501-4193
(570) 501-4109
Mailing address
2100 MACK BLVD, ALLENTOWN, PA 18103-5622
(484) 884-0617
(484) 884-0628
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS018411
PA
Other
Enumeration date
06/16/2014
Last updated
09/01/2020
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