Organization
LEAR VON KOCH MD & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAR VON KOCH M.D. (PRESIDENT)
(570) 343-1115
Entity
Organization
Contact information
Practice address
720 MADISON AVE, SCRANTON, PA 18510-1609
(570) 343-1115
Mailing address
720 MADISON AVE, SCRANTON, PA 18510-1609
(570) 343-1115
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008913210002
—
PA
Enumeration date
11/10/2006
Last updated
08/22/2020
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