Individual
ANITA GENNY KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 SHURS LN, PHILADELPHIA, PA 19127-2123
(215) 482-0699
(215) 482-0554
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1321
(215) 482-0699
(215) 482-0554
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
MD418898
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
MD418898
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101269058
—
PA
Enumeration date
05/28/2006
Last updated
08/30/2016
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