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Individual

MARGARET M. KOEHM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 325-9981
(508) 325-8558
Mailing address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 325-9981
(508) 325-8558

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
213100
MA
207Q00000X
Family Medicine Physician
MD213100
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9022680
RI
Enumeration date
12/01/2005
Last updated
01/16/2018
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