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General NPI Number Information
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NPI Number | 1538125414
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Entity Type | Individual
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Provider Name | PAUL S KOCH M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 566 TOLL GATE RD
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City | WARWICK
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State | RI
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Zip | 02886-2716
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Country | US
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Telephone | 401-738-4800
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Fax | 401-738-0174
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Provider Business Mailing Address
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Address Line | 175 PARAMOUNT DR SUITE 203
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City | RAYNHAM
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State | MA
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Zip | 02767-1065
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Country | US
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Telephone | 774-320-3040
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Fax | 508-910-2204
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD5359
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 038372
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License Number State | CT
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