Individual
DR. JENNIFER KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2014 WASHINGTON ST, NEWTON-WELLESLEY HOSPITAL, NEWTON, MA 02462-1607
(617) 243-6490
Mailing address
2014 WASHINGTON ST, NEWTON-WELLESLEY HOSPITAL, NEWTON, MA 02462-1607
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
250544
MA
2084P0804X
Child & Adolescent Psychiatry Physician
250544
MA
Other
Enumeration date
04/16/2009
Last updated
06/16/2014
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