Provider Demographics
NPI:1255921508
Name:KOCH, FRANK JOSEPH (RD)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:JOSEPH
Last Name:KOCH
Suffix:
Gender:M
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 COAL KILN RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:MA
Mailing Address - Zip Code:01541-1504
Mailing Address - Country:US
Mailing Address - Phone:843-609-6688
Mailing Address - Fax:
Practice Address - Street 1:62 COAL KILN RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:MA
Practice Address - Zip Code:01541-1504
Practice Address - Country:US
Practice Address - Phone:843-609-6688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered