Koo, Charles H

Koo, Charles H is an individual health care provider with primary practice located at 11 Meridian Rd , Eatontown NJ 07724-2242. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Koo, Charles H can be contacted via phone (732) 663-0300.

Contact Information

Primary practice address
11 Meridian Rd Eatontown NJ 07724-2242
Phone: (732) 663-0300
Fax: (732) 663-0301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 153588 Massachusetts
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 25MA07568100 New Jersey
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA07568100 New Jersey

Profile Details

NPI number 1396782595
LBN Legal business name Koo, Charles H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Mar 25th, 2016 - about 9 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 1396782595 NPPES
New Jersey MEDICAID 0003352

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