Individual
EDWARD T KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
300 GROVE ST, WORCESTER, MA 01605-3908
(781) 864-7217
Mailing address
544 WAVERLEY OAKS RD, WALTHAM, MA 02451-9418
(781) 891-3510
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
52523
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
52523
MA
Other
Enumeration date
08/02/2005
Last updated
11/15/2012
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