Individual
SUSAN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Contact information
Practice address
420 S 5TH AVE, WEST READING, PA 19611-2143
(484) 628-4075
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW008547L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100840156
—
PA
Enumeration date
04/06/2006
Last updated
11/09/2016
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