Individual
DR. SAVANNAH DEAN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(914) 400-5565
Mailing address
4734 SMICK ST, PHILADELPHIA, PA 19127-1910
(914) 400-5565
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT214092
PA
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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