Individual
VICTORIA KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 S ORANGE AVE, MEDICAL SCIENCE BUILDING G530, NEWARK, NJ 07103-2757
(973) 972-6639
Mailing address
92 CHURCH ST, APARTMENT A, MONTCLAIR, NJ 07042-2713
(210) 873-8672
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA10843900
NJ
2086S0120X
Pediatric Surgery Physician
Primary
25MA10843900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2015
Last updated
04/24/2024
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