Ko, Naomi

Ko, Naomi is an individual health care provider with primary practice located at 830 Harrison Ave Moakley, 3Rd Floor, Boston MA 02118-2905. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Ko, Naomi can be contacted via phone (617) 638-6428.

Contact Information

Primary practice address
830 Harrison Ave Moakley, 3Rd Floor Boston MA 02118-2905
Phone: (617) 638-6428
Fax: (617) 638-5756
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 238926 Massachusetts
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 238926 Massachusetts
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 238926 Massachusetts

Profile Details

NPI number 1043360928
LBN Legal business name Ko, Naomi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2014 - about 10 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 1043360928 NPPES
Massachusetts MEDICAID 110084111A

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