Organization
DR. KOOCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON EVERETT KOOCH DO (OWNER)
(484) 357-2469
Entity
Organization
Contact information
Practice address
70 HUDSON ST BSMT, HOBOKEN, NJ 07030-5630
(484) 357-2469
Mailing address
250 W 27TH ST APT 5B, NEW YORK, NY 10001-5924
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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