Jean Koff, MD, MS

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One star
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One half star

Rating: 4.9 out of 5 (160 ratings)

Role

Hematology Oncology
Specialty

Lymphoma
Research Program

Discovery and Developmental Therapeutics
Practicing Since

2016

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Background

A hematologist, Dr. Koff specializes in the treatment of lymphoid malignancies and joined the clinical staff at Winship Cancer Institute as a practicing physician in 2016. Dr. Koff is a clinical investigator in the Bone Marrow and Stem Cell Transplant Center with a disease focus in lymphoma.

Dr. Koff received her MD and graduated magna cum laude from Emory University School of Medicine in Atlanta, Georgia. Her postgraduate medical education included a J. Willis Hurst Residency in Internal Medicine at Emory University and a Fellowship in Hematology and Medical Oncology at Winship Cancer Institute, where she was Chief Fellow in her final year.

Dr. Koff's academic focus is in epidemiology, outcomes, and translational research in lymphoma, with a particular interest in the intersection between autoimmune disorders and lymphoid malignancies.

Dr. Koff's work has been published in many leading journals, including Cancer, Cell, and Leukemia & Lymphoma, as well as presented at multiple international conferences.

Titles & Roles

Associate Professor, Department of Hematology and Medical Oncology

Emory University School of Medicine

Education & Training

Education

Fellowship, Hematology & Oncology, 2016
Emory University School of Medicine
Residency, Internal Medicine, 2012
Emory University School of Medicine
Medical Education, , 2010
Emory University School of Medicine

Board Certifications

Medical Oncology
American Board of Internal Medicine, 2016
Hematology
American Board of Internal Medicine, 2016
Internal Medicine
American Board of Internal Medicine, 2013

Professional Memberships

American Medical Association
American Society of Clinical Oncology
American Society of Hematology
American Association for Cancer Research

View Current Clinical Trials


An Open-Label, Phase 2 Trial of Nanatinostat in Combination With Valganciclovir in Patients With Epstein-Barr Virus-Positive (EBV+) Relapsed/Refractory Lymphomas Phase II Conditions Epstein-Barr Virus Associated Lymphoproliferative Disorder, EBV-Related PTLD, EBV Related Non-Hodgkin's Lymphoma, EBV-Positive DLBCL, NOS, EBV Associated Lymphoma, EBV Related PTCL, NOS Location Winship Cancer Institute
Tabelecleucel for Solid Organ or Allogeneic Hematopoietic Cell Transplant Participants With Epstein-Barr Virus-Associated Post-Transplant Lymphoproliferative Disease (EBV+ PTLD) After Failure of Rituximab or Rituximab and Chemotherapy Phase III Conditions Epstein-Barr Virus+ Associated Post-transplant Lymphoproliferative Disease (EBV+ PTLD), Solid Organ Transplant Complications, Lymphoproliferative Disorders, Allogeneic Hematopoietic Cell Transplant, Stem Cell Transplant Complications Location Winship Cancer Institute

An Open-Label, Phase 2 Trial of Nanatinostat in Combination With Valganciclovir in Patients With Epstein-Barr Virus-Positive (EBV+) Relapsed/Refractory Lymphomas
- Phase
  
  II
- Conditions
  
  Epstein-Barr Virus Associated Lymphoproliferative Disorder, EBV-Related PTLD, EBV Related Non-Hodgkin's Lymphoma, EBV-Positive DLBCL, NOS, EBV Associated Lymphoma, EBV Related PTCL, NOS
- Location
  
  Winship Cancer Institute

Tabelecleucel for Solid Organ or Allogeneic Hematopoietic Cell Transplant Participants With Epstein-Barr Virus-Associated Post-Transplant Lymphoproliferative Disease (EBV+ PTLD) After Failure of Rituximab or Rituximab and Chemotherapy
- Phase
  
  III
- Conditions
  
  Epstein-Barr Virus+ Associated Post-transplant Lymphoproliferative Disease (EBV+ PTLD), Solid Organ Transplant Complications, Lymphoproliferative Disorders, Allogeneic Hematopoietic Cell Transplant, Stem Cell Transplant Complications
- Location
  
  Winship Cancer Institute

Title/Journal	Authors	Publication Date
The Lymphoma Epidemiology of Outcomes cohort study: Design, baseline characteristics, and early outcomes. American journal of hematology	JR Cerhan, MJ Maurer, BK Link, AL Feldman, TM Habermann, DL Jaye, WR Burack, TJ McDonnell, F Vega, JR Chapman, S Syrbu, KR Vij, G Inghirami, JP Leonard, L Bernal-Mizrachi, U Farooq, TE Witzig, GJ Weiner, Y Wang, JP Alderuccio, SL Slager, MC Larson, SM Riska, BJ Gysbers, JJ Lunde, TW Reicks, AA Ayers, CB O'Leary, KJ Yost, H Liu, GS Nowakowski, J Ruan, D Chihara, JL Koff, C Casulo, CA Thompson, JB Cohen, BS Kahl, LJ Nastoupil, IS Lossos, JW Friedberg, P Martin, CR Flowers	01/03/2024
Engineering Improved CAR T Cell Products with A Multi-Cytokine Particle Platform for Hematologic and Solid Tumors. Advanced healthcare materials	HK Lin, B Uricoli, R Freeman, AN Hossian, Z He, JYL Anderson, M Neffling, JM Legier, DA Blake, DB Doxie, R Nair, JL Koff, KM Dhodapkar, M Shanmugam, EC Dreaden, S Rafiq	21/01/2024
Matching-adjusted indirect comparison from the Lymphoma Epidemiology of Outcomes Consortium for Real World Evidence (LEO CReWE) study to a clinical trial of mosunetuzumab in relapsed or refractory follicular lymphoma. Haematologica	MJ Maurer, C Casulo, MC Larson, TM Habermann, IS Lossos, Y Wang, LJ Nastoupil, C Strouse, D Chihara, P Martin, JB Cohen, BS Kahl, WR Burack, JL Koff, Y Mun, A Masaquel, M Wu, MC Wei, A Shewade, J Li, JR Cerhan, BK Link, CR Flowers	30/11/2023
Important Considerations in the Diagnosis and Management of Post-transplant Lymphoproliferative Disorder. Current oncology reports	M Lee, A Abousaud, RA Harkins, E Marin, D Balasubramani, MC Churnetski, D Peker, A Singh, JL Koff	01/08/2023
Low neutralizing activity of AZD7442 against current SARS-CoV-2 Omicron variants in patients with B-cell malignancies. Blood advances	A Chang, JL Koff, L Lai, VM Orellana-Noia, M Surati, AMK Leal, ML Ellis, B Wali, A Moreno, SL Linderman, CB O'Leary, PB Allen, MC Churnetski, MV Dhodapkar, MS Suthar, JB Cohen, R Ahmed	13/06/2023
Predictive value of staging PET/CT to detect bone marrow involvement and early outcomes in marginal zone lymphoma. Blood	JP Alderuccio, IM Reis, JL Koff, MC Larson, D Chihara, W Zhao, S Haddadi, TM Habermann, P Martin, JR Chapman, C Strouse, BS Kahl, JB Cohen, JW Friedberg, JR Cerhan, CR Flowers, IS Lossos	13/04/2023
Combinatorial treatment rescues tumour-microenvironment-mediated attenuation of MALT1 inhibitors in B-cell lymphomas. Nature materials	SB Shah, CR Carlson, K Lai, Z Zhong, G Marsico, KM Lee, NE Félix Vélez, EB Abeles, M Allam, T Hu, LD Walter, KE Martin, K Gandhi, SD Butler, R Puri, AL McCleary-Wheeler, W Tam, O Elemento, K Takata, C Steidl, DW Scott, L Fontan, H Ueno, BD Cosgrove, G Inghirami, AJ García, AF Coskun, JL Koff, A Melnick, A Singh	01/04/2023
Isoform-specific knockdown of long and intermediate prolactin receptors interferes with evolution of B-cell neoplasms. Communications biology	A Taghi Khani, A Kumar, A Sanchez Ortiz, KC Radecki, S Aramburo, SJ Lee, Z Hu, B Damirchi, MY Lorenson, X Wu, Z Gu, W Stohl, I Sanz, E Meffre, M Müschen, SJ Forman, JL Koff, AM Walker, S Swaminathan	20/03/2023
Antibody binding and neutralization of live SARS-CoV-2 variants including BA.4/5 following booster vaccination of patients with B-cell malignancies. Cancer research communications	A Chang, A Akhtar, L Lai, VM Orellana-Noia, SL Linderman, AA McCook-Veal, JM Switchenko, M Saini, RM Valanparambil, KA Blum, PB Allen, MJ Lechowicz, JT Romancik, A Ayers, A Leal, CB O'Leary, MC Churnetski, K Baird, M Kives, J Wrammert, AK Nooka, JL Koff, MV Dhodapkar, MS Suthar, JB Cohen, R Ahmed	01/12/2022
CLL-515 Antibody Responses Against SARS-CoV-2 Variants after Booster Vaccination in Patients With B Cell Non-Hodgkin Lymphoma and Chronic Lymphocytic Leukemia. Clinical lymphoma, myeloma & leukemia	A Chang, L Lai, A Akhtar, S Linderman, V Orellana-Noia, M Saini, R Valanparambil, K Blum, P Allen, M Lechowicz, J Romancik, A Ayers, C O'Leary, M Churnetski, M Kives, A Nooka, J Koff, M Dhodapkar, M Suthar, J Cohen, R Ahmed	27/09/2022
Herpes simplex virus lymphadenitis is associated with tumor reduction in a patient with chronic lymphocytic leukemia. The Journal of clinical investigation	A Chang, AM Sholukh, A Wieland, DL Jaye, M Carrington, ML Huang, H Xie, KR Jerome, P Roychoudhury, AL Greninger, JL Koff, JB Cohen, DM Koelle, L Corey, CR Flowers, R Ahmed	15/09/2022
Humoral Responses Against SARS-CoV-2 and Variants of Concern After mRNA Vaccines in Patients With Non-Hodgkin Lymphoma and Chronic Lymphocytic Leukemia. Journal of clinical oncology : official journal of the American Society of Clinical Oncology	A Chang, A Akhtar, SL Linderman, L Lai, VM Orellana-Noia, R Valanparambil, H Ahmed, VI Zarnitsyna, AA McCook-Veal, JM Switchenko, JL Koff, KA Blum, AA Ayers, CB O'Leary, MC Churnetski, S Sulaiman, M Kives, P Sheng, CW Davis, AK Nooka, R Antia, MV Dhodapkar, MS Suthar, JB Cohen, R Ahmed	10/09/2022
Improving eligibility criteria for first-line trials for patients with DLBCL using a US-based Delphi-method survey. Blood advances	RA Harkins, SP Patel, MJ Lee, JM Switchenko, SM Ansell, NL Bartlett, KA Blum, AF Cashen, C Casulo, JW Friedberg, PB Johnston, BS Kahl, JP Leonard, BK Link, IS Lossos, P Martin, MJ Maurer, N Mehta-Shah, PM Reagan, JR Westin, JL Koff, CR Flowers	10/05/2022
Treatment patterns and outcomes of patients with relapsed or refractory follicular lymphoma receiving three or more lines of systemic therapy (LEO CReWE): a multicentre cohort study. The Lancet. Haematology	C Casulo, MC Larson, JJ Lunde, TM Habermann, IS Lossos, Y Wang, LJ Nastoupil, C Strouse, D Chihara, P Martin, JB Cohen, BS Kahl, WR Burack, JL Koff, Y Mun, A Masaquel, M Wu, MC Wei, A Shewade, J Li, J Cerhan, CR Flowers, BK Link, MJ Maurer	01/04/2022
PI3Kδ/γ inhibition promotes human CART cell epigenetic and metabolic reprogramming to enhance antitumor cytotoxicity. Blood	CR Funk, S Wang, KZ Chen, A Waller, A Sharma, CL Edgar, VA Gupta, S Chandrakasan, JT Zoine, A Fedanov, SS Raikar, JL Koff, CR Flowers, S Coma, JA Pachter, S Ravindranathan, HT Spencer, M Shanmugam, EK Waller	27/01/2022
Gene expression profiling-based risk prediction and profiles of immune infiltration in diffuse large B-cell lymphoma. Blood cancer journal	S Merdan, K Subramanian, T Ayer, J Van Weyenbergh, A Chang, JL Koff, C Flowers	07/01/2021
Linking Environmental Exposures to Molecular Pathogenesis in Non-Hodgkin Lymphoma Subtypes. Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology	L Moubadder, LE McCullough, CR Flowers, JL Koff	01/10/2020
Genome-defined African ancestry is associated with distinct mutations and worse survival in patients with diffuse large B-cell lymphoma. Cancer	MJ Lee, JL Koff, JM Switchenko, CI Jhaney, RA Harkins, SP Patel, SS Dave, CR Flowers	01/08/2020
Using Informatics Tools to Identify Opportunities for Precision Medicine in Diffuse Large B-cell Lymphoma. Clinical lymphoma, myeloma & leukemia	SP Patel, RA Harkins, MJ Lee, CR Flowers, JL Koff	01/04/2020
Insurance status impacts overall survival in Burkitt lymphoma. Leukemia & lymphoma	JS Goldstein, JM Switchenko, M Behera, CR Flowers, JL Koff	01/12/2019
Characterizing Lymphoma Incidence and Disparities for a Cancer Center Catchment Region. Clinical lymphoma, myeloma & leukemia	AA Ayers, L Lyu, K Dance, KC Ward, CR Flowers, JL Koff, LE McCullough	01/11/2019
Remaining challenges in predicting patient outcomes for diffuse large B-cell lymphoma. Expert review of hematology	RA Harkins, A Chang, SP Patel, MJ Lee, JS Goldstein, S Merdan, CR Flowers, JL Koff	01/11/2019
Racial and Socioeconomic Disparities in Mantle Cell Lymphoma. Clinical lymphoma, myeloma & leukemia	NN Shah, Y Xi, Y Liu, JL Koff, CR Flowers, M Behera, JB Cohen	01/06/2019
Influenza Vaccination Documentation Rates During the First Year After Diagnosis of Diffuse Large B Cell Lymphoma. Clinical lymphoma, myeloma & leukemia	A Chang, JB Payne, PB Allen, JL Koff, R Ahmed, CR Flowers, RA Bednarczyk	01/04/2019
Improving cancer-specific outcomes in solid organ transplant recipients: Where to begin? Cancer	JL Koff, EK Waller	15/03/2019
History of autoimmune conditions and lymphoma prognosis. Blood cancer journal	G Kleinstern, MJ Maurer, M Liebow, TM Habermann, JL Koff, C Allmer, TE Witzig, GS Nowakowski, IN Micallef, PB Johnston, DJ Inwards, CA Thompson, AL Feldman, BK Link, C Flowers, SL Slager, JR Cerhan	01/08/2018
Exploring the potential cost-effectiveness of precision medicine treatment strategies for diffuse large B-cell lymphoma. Leukemia & lymphoma	Q Chen, AD Staton, T Ayer, DA Goldstein, JL Koff, CR Flowers	01/07/2018
Impact of the posttransplant lymphoproliferative disorder subtype on survival. Cancer	JL Koff, JX Li, X Zhang, JM Switchenko, CR Flowers, EK Waller	01/06/2018
Targeting the B cell receptor pathway in non-Hodgkin lymphoma. Expert opinion on investigational drugs	K Valla, CR Flowers, JL Koff	01/06/2018
Peritransplantation Red Blood Cell Transfusion Is Associated with Increased Risk of Graft-versus-Host Disease after Allogeneic Hematopoietic Stem Cell Transplantation. Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation	S Hosoba, EK Waller, N Shenvi, M Graiser, KA Easley, Z Al-Kadhimi, A Andoh, AG Antun, S Barclay, CD Josephson, JL Koff, HJ Khoury, AA Langston, JC Zimring, JD Roback, CR Giver	01/05/2018
Effective management strategies for patients with marginal zone lymphoma. Future oncology (London, England)	CB Rosand, K Valla, CR Flowers, JL Koff	01/05/2018
Surveillance imaging in mantle cell lymphoma in first remission lacks clinical utility. Leukemia & lymphoma	DM Guidot, JM Switchenko, LJ Nastoupil, JL Koff, KA Blum, J Maly, CR Flowers, JB Cohen	01/04/2018
Characterizing Autoimmune Disease-associated Diffuse Large B-cell Lymphoma in a SEER-Medicare Cohort. Clinical lymphoma, myeloma & leukemia	JL Koff, A Rai, CR Flowers	01/02/2018
Genetic and Functional Drivers of Diffuse Large B Cell Lymphoma. Cell	A Reddy, J Zhang, NS Davis, AB Moffitt, CL Love, A Waldrop, S Leppa, A Pasanen, L Meriranta, ML Karjalainen-Lindsberg, P Nørgaard, M Pedersen, AO Gang, E Høgdall, TB Heavican, W Lone, J Iqbal, Q Qin, G Li, SY Kim, J Healy, KL Richards, Y Fedoriw, L Bernal-Mizrachi, JL Koff, AD Staton, CR Flowers, O Paltiel, N Goldschmidt, M Calaminici, A Clear, J Gribben, E Nguyen, MB Czader, SL Ondrejka, A Collie, ED Hsi, E Tse, RKH Au-Yeung, YL Kwong, G Srivastava, WWL Choi, AM Evens, M Pilichowska, M Sengar, N Reddy, S Li, A Chadburn, LI Gordon, ES Jaffe, S Levy, R Rempel, T Tzeng, LE Happ, T Dave, D Rajagopalan, J Datta, DB Dunson, SS Dave	05/10/2017
Prognostic modeling in diffuse large B-cell lymphoma in the era of immunochemotherapy: Where do we go from here? Cancer	JL Koff, CR Flowers	01/09/2017
Molecular impact of selective NFKB1 and NFKB2 signaling on DLBCL phenotype. Oncogene	X Guo, JL Koff, AB Moffitt, M Cinar, S Ramachandiran, Z Chen, JM Switchenko, M Mosunjac, SG Neill, KP Mann, M Bagirov, Y Du, Y Natkunam, HJ Khoury, MR Rossi, W Harris, CR Flowers, IS Lossos, LH Boise, SS Dave, J Kowalski, L Bernal-Mizrachi	20/07/2017
Relations Between Residential Proximity to EPA-Designated Toxic Release Sites and Diffuse Large B-Cell Lymphoma Incidence. Southern medical journal	C Bulka, LJ Nastoupil, JL Koff, L Bernal-Mizrachi, KC Ward, JN Williams, AR Bayakly, JM Switchenko, LA Waller, CR Flowers	01/10/2016
New insights into the epidemiology of non-Hodgkin lymphoma and implications for therapy. Expert review of anticancer therapy	D Chihara, LJ Nastoupil, JN Williams, P Lee, JL Koff, CR Flowers	01/05/2015
Comparison of the effectiveness of frontline chemoimmunotherapy regimens for follicular lymphoma used in the United States. Leukemia & lymphoma	LJ Nastoupil, R Sinha, M Byrtek, R Ziemiecki, M Taylor, JW Friedberg, JL Koff, BK Link, JR Cerhan, KL Dawson, CR Flowers	01/05/2015
Novel therapies in mantle cell lymphoma: a pathway to chemotherapy-free strategies. Oncology (Williston Park, N.Y.)	LJ Nastoupil, JL Koff, CR Flowers	01/10/2013

Awards

Roy O. Rodwell Trinity Scholarship, Duke University
Phi Beta Kappa membership, Duke University
William J. Griffith University Service Award, Duke University
James L. Campbell Memorial Scholarship, Emory University School of Medicine
Society of Hematologic Oncology Travel Award, MD Anderson Cancer Center in Houston, TX
Chief Fellow of Hematology and Medical Oncology, Emory University
Nell W. and William S. Elkin Cancer Research Fellowship, Emory University
American Society of Hematology Clinical Research Training Institute, La Jolla, CA
Recognition, Emory University School of Medicine Research Appreciation Day, Atlanta, GA

Ratings & Reviews

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4.9	One star One star One star One star One half star	Provider showed concern
4.9	One star One star One star One star One half star	Provider explained things clearly
4.9	One star One star One star One star One half star	Provider discussed treatment options
4.9	One star One star One star One star One half star	Provider included you in decisions
4.9	One star One star One star One star One half star	Likelihood of recommending this provider

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One star One star One star One star One star	11/05/2024	Dr Koff was very articulate and spoke in a very clear and easy to understand. Even demonstrated on a board! My wife and I really appreciate her knowledge and way of explaining to us.
One star One star One star One star One star	31/03/2024	Dr. Koff did not rush me through my visit. She seemed willing to spend as much time as needed to answer all my questions.
One star One star One star One star One star	23/03/2024	The most detailed explanation I have had from any Physician. Dr Koff did an excellent job in explaining my disease and in the options that we have in treating it. My wife and I left both impressed and encouraged!
One star One star One star One star One star	16/03/2024	Dr. Koff is absolutely amazing. She saved my daddy's life. She genuinely cares about her patients and takes the time to listen. She is the epitome of a perfect doctor and every doctor should be exactly like her.
One star One star One star One star One star	15/03/2024	After a few minutes of conversation, I felt very comfortable with Doctor's ability and concerns for my wellbeing.
One star One star One star One star One star	14/03/2024	Good
One star One star One star One star One star	07/03/2024	Dr. Koff was very organized and outlined the logic she used in deciding on my diagnosis as well as why she recommended a particular treatment regimen.
One star One star One star One star One star	26/02/2024	Dr. Koff was very pleasant and thorough as she listened intently, took notes and explained my diagnosis very succinctly and efficiently.
One star One star One star One star One star	27/01/2024	Dr Koff is very easy to work with. She is thorough, explains most things in plain language, and answers all our questions.
One star One star One star One star One star	04/01/2024	Dr. Koff is amazing. She takes time to listen and is concerned about her patients.
One star One star One star One star One star	23/11/2023	Very Good
One star One star One star One star One star	02/11/2023	Dr. Koff is AMAZING. She is very thorough, listens to you, genuinely cares.
One star One star One star One star One star	28/09/2023	The Doctor was exceptional and answered every question I had and some she went as far as drawing out on a board the exact condition and explained it .
One star One star One star One star One star	28/09/2023	Careful listening to breathing and physical checking on lymph nodes. Yeah!
One star One star One star One star One star	14/09/2023	Very good!
One star One star One star One star One star	10/08/2023	Dr. Koff Is the best.
One star One star One star One star One star	03/08/2023	Dr Koff was fantastic!! Explained everything in great detail.
One star One star One star One star One star	03/08/2023	Dr Koff is the best.
One star One star One star One star One star	27/07/2023	I cannot think of anything that could improve the respect and concern provided to me.
One star One star One star One star One star	15/07/2023	Dr. Koff has always had a way of making me feel relaxed and calm.
One star One star One star One star One star	29/06/2023	It was a very experience
One star One star One star One star One star	13/05/2023	Dr. Koff provided outstanding service. She and her assistants took the time to answer my questions and thoroughly discussed and reviewed my situation.
One star One star One star One star One star	22/04/2023	Dr Koff was so caring and listened to every question and concern that I had. She made me feel safe and that everything was going to be ok.
One star One star One star One star One star	15/04/2023	The doctor seeing very empathetic and concerned with my condition. She listen to my questions and answer them accordingly. I felt it is talking to her and I feel that there would be a plan developed for my continuing good health.
One star One star One star One star One star	13/04/2023	Loved the entire team that I saw.
One star One star One star One star One star	07/04/2023	Dr Koff is exceptional at relating to our situation and feelings
One star One star One star One star One star	16/03/2023	Dr. Koff and the clinical staff were excellent. The scheduling time frame for the initial visit was not.
One star One star One star Empty star Empty star	13/01/2023	While provider clearly had a great deal of expertise, I did not really feel that she listened to me and I did not have a chance to ask all of my questions.
One star One star One star One star One star	06/01/2023	Dr. Koff's explanations were very clear and helpful. She was very respectful and attentive to my 93 year old mother.
One star One star One star One star One star	15/12/2022	Dr. Koff and the Emory staff are great. I feel extremely fortunate to have Dr. Koff as my son's oncologist.
One star One star One star One star One star	08/12/2022	Dr. Koff was absolutely wonderful. The detail with which she explained my illness was incredible.
One star One star One star One star One star	02/12/2022	I did not feel rushed and all my questions were answered.
One star One star One star One star One star	23/09/2022	Dr. Koff is a very cordial and professional provider. She has always been very thorough and patient. She answers all of my questions even the ones I forgot to ask. I very satisfied with her continuing care.
One star One star One star One star One star	18/09/2022	Blood draw nurse was excellent. I also appreciated that the lab results were in hand when Dr Koff met with me. And the results were in the patient portal by the time I got home. Very efficient.
One star One star One star One star One half star	15/09/2022	I liked that she was willing to consult other doctors about my case.
One star One star One star One star One star	02/06/2022	Dr. Koff is a knowledgeable doctor with a caring and kind personality