Koh, Howard Kyongju

Koh, Howard Kyongju is an individual health care provider with primary practice located at 715 Albany St J-100, Boston MA 02118-2526. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Koh, Howard Kyongju can be contacted via phone (617) 638-5500.

Contact Information

Primary practice address
715 Albany St J-100 Boston MA 02118-2526
Phone: (617) 638-5500
Fax: (617) 638-5515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 44564 Massachusetts

Profile Details

NPI number 1093778482
LBN Legal business name Koh, Howard Kyongju
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 8th, 2007 - about 18 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 1093778482 NPPES
Massachusetts MEDICAID 3001768

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