Individual
ASNAT E KOEHNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5521
(508) 894-0400
(508) 894-0617
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 894-0400
(508) 565-0157
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
152853
MA
Other
Enumeration date
12/07/2005
Last updated
09/11/2020
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