Ko, Christine J

Ko, Christine J is an individual health care provider with primary practice located at 15 York Street Lmp 5031, New Haven CT 06510. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Ko, Christine J can be contacted via phone (203) 785-4094.

Contact Information

Primary practice address
15 York Street Lmp 5031 New Haven CT 06510
Fax: (203) 785-6869
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD426011 Pennsylvania
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD426011 Pennsylvania

Profile Details

NPI number 1841258282
LBN Legal business name Ko, Christine J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Jul 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841258282 NPPES
Pennsylvania MEDICAID 101266539

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