Individual
DR. CHARLES H KOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 663-0300
(732) 663-0301
Mailing address
11 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 663-0300
(732) 663-0301
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA07568100
NJ
207RC0001X
Clinical Cardiac Electrophysiology Physician
153588
MA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
25MA07568100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003352
—
NJ
Enumeration date
05/31/2006
Last updated
03/25/2016
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