Koll, Brian

Koll, Brian is an individual health care provider with primary practice located at 710 Main St , Harwich Port MA 02646-1931. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Koll, Brian can be contacted via phone (508) 905-2800.

Contact Information

Primary practice address
710 Main St Harwich Port MA 02646-1931
Phone: (508) 905-2800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 175611 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 175611 New York
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 276952 Massachusetts

Profile Details

NPI number 1225019367
LBN Legal business name Koll, Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated May 22nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225019367 NPPES
New York MEDICAID 01475938

Popular Providers