Koff, Matthew Douglas

Koff, Matthew Douglas is an individual health care provider with primary practice located at One Medical Center Dr Department Of Anesthesiology And Critical Care, Lebanon NH 03756-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Koff, Matthew Douglas can be contacted via phone (603) 650-4642.

Contact Information

Primary practice address
One Medical Center Dr Department Of Anesthesiology And Critical Care Lebanon NH 03756-0001
Phone: (603) 650-4642
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 12109 New Hampshire
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12109 New Hampshire

Profile Details

NPI number 1154346138
LBN Legal business name Koff, Matthew Douglas
Credentials M.D. M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Jan 3rd, 2008 - about 16 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 1154346138 NPPES
New Hampshire MEDICAID 30204003
New Hampshire MEDICAID 1010198

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