Koff, Richard Allen

Koff, Richard Allen is an individual health care provider with primary practice located at 2840 Pine Rd Unit D1 , Huntingdon Valley PA 19006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Koff, Richard Allen can be contacted via phone (215) 464-6383.

Contact Information

Primary practice address
2840 Pine Rd Unit D1 Huntingdon Valley PA 19006
Fax: (215) 464-2663
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD040042L Pennsylvania

Profile Details

NPI number 1720192677
LBN Legal business name Koff, Richard Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jun 19th, 2019 - about 5 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 1720192677 NPPES
Pennsylvania Other 000734999 BS BLUE SHIELD
Pennsylvania Other 477183 BS BLUE SHIELD

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