Elizabeth Koh
Pediatrics in Newark, NJ. Individual provider (NPI-1).
NPI number1407248024
StatusActive
Last updated in NPPESOct 1, 2021
Details
- NPI
- 1407248024
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Koh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2015
- Certification date
- Oct 1, 2021
- Last updated
- Oct 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | H91477 | MD | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
201 Lyons AveNewark, NJ 07112-2027
Phone 973-926-7040
Mailing address
201 Lyons AveNewark, NJ 07112-2027
Phone 973-926-7471
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