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Individual

MIA CHWAN KO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5401 OLD YORK RD STE 404, PHILADELPHIA, PA 19141-3046
(856) 342-2445
Mailing address
1101 E HECTOR ST UNIT 434, CONSHOHOCKEN, PA 19428-2456
(646) 709-3236

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS018906
PA

Other

Enumeration date
06/03/2014
Last updated
09/26/2019
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