Individual
CHARLES C KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6529 BLACK HORSE PIKE, EGG HARBOR TOWNSHIP, NJ 08234-4509
(856) 459-3855
Mailing address
1125 SANSOM ST APT 611, PHILADELPHIA, PA 19107-4866
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD473648
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/25/2016
Last updated
12/12/2023
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