MEDICARE: DR. MILTON KOCH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	D14609	MD
2	207RG0100X	Gastroenterology Physician	D0014609	MD

General Provider Information

NPI Number	:	1275510257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MILTON KOCH M.D.

Provider Business Mailing Address
First Line	:	10801 LOCKWOOD DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-1556
Country	:	US
Telephone Number	:	301-593-2002
Fax Number	:

Provider Business Practice Location Address
First Line	:	10801 LOCKWOOD DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-1556
Country	:	US
Telephone Number	:	301-593-2002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	10/23/2007

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Directions to “ DR. MILTON KOCH M.D.” Practice Location

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