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1063162246
AUGUSTUS KOCH
DARBY, PA
NPI
1063162246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
AUGUSTUS KOCH MD
1500 LANSDOWNE AVE
DARBY, PA 19023-1200
Phone number: 610-237-4684
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Mailing Address
AUGUSTUS KOCH MD
322 BELGRADE ST
PHILADELPHIA, PA 19125-4404
Phone number: 208-755-0252
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