Active NPIIndividual provider

Timothy Koah, PA-C

Physician Assistant in Bryn Mawr, Pennsylvania

NPI Number1326375254
Practice location
130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121
Fax
—
Last updated
November 13, 2009

Timothy Koah is a Physician Assistant based in Bryn Mawr, PA. Timothy Koah practices in Bryn Mawr, PA and has the professional credentials of PA-C. The NPI Number for Timothy Koah is 1326375254 and holds a License No. MA054119 (PA). The current practice location address for Timothy Koah is 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 and can be reached out via phone at 610-526-3581.

Provider Profile Details

NPI Number
1326375254
Provider Name
Timothy Koah
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121
Phone Number
610-526-3581
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
November 13, 2009
Last Update Date
November 13, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3121
Zip
19010-3121
Phone Number
610-526-3581
Bryn Mawr, PA 19010Get directions →

Provider Business Mailing Address Details

Address
12 Gill St
Suite 3000
Woburn, MA 01801-1765
City
Woburn
State
MA
Zip
01801-1765
Phone Number
781-937-4522
Fax Number
781-937-6442

License Information

License Number (1)
MA054119
License State (1)
PA
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
OA002393
License State (2)
PA
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Timothy Koah, PA-C?

The NPI number of Timothy Koah, PA-C is 1326375254. It was assigned on November 13, 2009 and is currently active in the NPPES registry.

What is the specialty of Timothy Koah, PA-C?

Timothy Koah, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number MA054119.

Where does Timothy Koah, PA-C practice?

The practice location is 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121. The office can be reached at 610-526-3581 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326375254 directly on the NPPES registry website.

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