Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DS041386 | PA |
NPI | 1003337130 |
---|---|
Provider Name | Dr. Hua-Hsin Ko |
First Address | Swarthmore, PA 19081-2010 |
Second Address | Narberth, PA 19072-2233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2017 |
Last Update Date | 28/06/2017 |