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Individual

DR. HAN SUK KOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD063640L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0018673940001
PA
05
02195884
NY
01
130024722
RR MEDICARE PIN
PA
01
CC9269
RR MEDICARE GROUP
PA
01
GU039821
MEDICARE GROUP
PA
Enumeration date
03/16/2006
Last updated
08/02/2011
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