Individual
MRS. KOY TRAKOONTRIPOP GOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 CAPITAL WAY STE 380, PENNINGTON, NJ 08534-2521
(609) 537-5000
Mailing address
2 CAPITAL WAY STE 380, PENNINGTON, NJ 08534-2521
(609) 537-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00191300
NJ
363A00000X
Physician Assistant
MA054396
PA
363A00000X
Physician Assistant
OA002482
PA
Other
Enumeration date
12/17/2007
Last updated
01/31/2025
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