Provider Demographics
NPI:1437191798
Name:KOKROO, TEJ (MD)
Entity Type:Individual
Prefix:
First Name:TEJ
Middle Name:
Last Name:KOKROO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MIDDLETOWN BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3200
Mailing Address - Country:US
Mailing Address - Phone:215-757-8100
Mailing Address - Fax:215-757-7358
Practice Address - Street 1:170 MIDDLETOWN BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3200
Practice Address - Country:US
Practice Address - Phone:215-757-8100
Practice Address - Fax:215-757-7358
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD070944L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine