Koh, Elsie

Koh, Elsie is an individual health care provider with primary practice located at 1225 Mcbride Ave Suite 116, Woodland Park NJ 07424-3812. She recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as her primary health care specialty. Koh, Elsie can be contacted via phone (973) 837-1018.

Contact Information

Primary practice address
1225 Mcbride Ave Suite 116 Woodland Park NJ 07424-3812
Phone: (973) 837-1018
Fax: (973) 837-1329
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 25MA07546000 New Jersey

Profile Details

NPI number 1679548234
LBN Legal business name Koh, Elsie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Oct 21st, 2016 - about 8 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 1679548234 NPPES
New Jersey Other 071850 MEDICARE - NJ
New Jersey MEDICAID 9122401 MEDICARE - NJ

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