Individual
CHRISTOPHER HIROSHI KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
534 LIPPINCOTT DR, MARLTON, NJ 08053
(856) 983-4263
(856) 983-9362
Mailing address
301 LIPPINCOTT DR STE 120, MARLTON, NJ 08053-4197
(856) 355-0335
(856) 355-0354
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
054667
CT
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
25MA10223200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0603678
—
NJ
Enumeration date
10/17/2013
Last updated
06/07/2018
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