Provider Demographics
NPI:1154317162
Name:KOO, BETTY KUEN (MD)
Entity Type:Individual
Prefix:DR
First Name:BETTY
Middle Name:KUEN
Last Name:KOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1210 DON MILLS ROAD
Mailing Address - Street 2:SUITE 312
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M3B 3N9
Mailing Address - Country:CA
Mailing Address - Phone:416-446-7509
Mailing Address - Fax:416-510-8010
Practice Address - Street 1:75 THE DONWAY WEST
Practice Address - Street 2:SUITE 706
Practice Address - City:NORTH YORK
Practice Address - State:ONTARIO
Practice Address - Zip Code:M3C 2E9
Practice Address - Country:CA
Practice Address - Phone:416-510-8810
Practice Address - Fax:416-510-8010
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153317174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist