Individual
PETER KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2218
Mailing address
300 GRAND ST, HOBOKEN, NJ 07030-2788
(201) 659-8225
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA07280400
NJ
Other
Enumeration date
10/03/2006
Last updated
03/19/2008
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