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NPI Code Detail

MEDICARE: ROBERT R. KOCH M.D.

MEDICARE: ROBERT R. 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
1207RH0003XHematology & Oncology PhysicianMTL-2023-040GU
2207RH0003XHematology & Oncology PhysicianME41011FL
3207RH0003XHematology & Oncology PhysicianMD454019PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972598597
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT R. KOCH M.D.
Provider Business Mailing Address
First Line : 800 WASHINGTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02111-1552
Country : US
Telephone Number : 617-636-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1800 MULBERRY ST
Second Line :
City : SCRANTON
State : PA
Zip : 18510-2369
Country : US
Telephone Number : 570-703-8000
Fax Number : 570-703-8002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 02/09/2024

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