Organization
CENTER FOR GASTROENTEROLOGY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE A KOSCHE M.D. (PRESIDENT)
(954) 433-5900
Entity
Organization
Contact information
Practice address
12251 TAFT ST, SUITE 301, PEMBROKE PINES, FL 33026-1901
(954) 433-5900
(954) 447-1933
Mailing address
12251 TAFT ST, SUITE 301, PEMBROKE PINES, FL 33026-1901
(954) 433-5900
(954) 447-1933
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME70657
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254195800
—
FL
Enumeration date
02/11/2009
Last updated
04/14/2009
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