Individual
MICHELLE THERESA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3449
Mailing address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00597500
NJ
363LF0000X
Family Nurse Practitioner
Primary
F338142-1
NY
Other
Enumeration date
11/02/2013
Last updated
02/22/2016
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