Individual
MR. JOSEPH MICHAEL KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
1 BRYANT DR, SUCCASUNNA, NJ 07876-1632
(973) 584-1200
(973) 584-4107
Mailing address
89 SUMMIT AVE, CEDAR KNOLLS, NJ 07927-1410
(973) 998-9398
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00059400
NJ
Other
Enumeration date
10/19/2006
Last updated
05/12/2009
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