| NPI | 1609271642 |
|---|---|
| Other Name | PAUL S & D PATRICIA KOCH PTR |
| Entity Type | Organization |
| Authorized Contact | MARCELLO CELENTANO CEO 401-738-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2023-07-10 |