Individual
JOHN KOUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
117 ALBANY TPKE, CANTON, CT 06019-2507
(860) 658-3444
(860) 658-3458
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 658-3444
(860) 658-3458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051363
CT
Other
Enumeration date
06/23/2009
Last updated
07/30/2024
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