| Phillip Michael Kemp Bohan, MD | |
| 1 Cooper Plz, Camden, NJ 08103-1461 | |
| (856) 342-2000 | |
| Not Available | 
| Full Name | Phillip Michael Kemp Bohan | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Trauma Surgery | 
| Location | 1 Cooper Plz, Camden, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1073043030 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208D00000X | General Practice | 0101266840 (Virginia) | Secondary | 
| 2086S0127X | Surgery - Trauma Surgery | 25MA12576700 (New Jersey) | Primary | 
| Entity Name | University Of Penn - Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Phillip Michael Kemp Bohan, MD 1 Federal St Ste 200, Camden, NJ 08103-1088 Ph: (848) 288-6935 | Phillip Michael Kemp Bohan, MD 1 Cooper Plz, Camden, NJ 08103-1461 Ph: (856) 342-2000 | 
| Dr. Nicole Fox, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-3014 | |
| Nasser I Youssef, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1601 Haddon Ave # A, Camden, NJ 08103 Phone: 856-757-3840 | |
| John Chovanes, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-3014 | |
| Alison Kaye, MD Surgery Medicare: Medicare Enrolled Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2000 | |
| Adrian Antonio Lopez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Cooper Plz, Camden, NJ 08103 Phone: 855-632-2667 | |
| Keshav Kooragayala, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Cooper Plz, Camden, NJ 08103 Phone: 856-342-2000 | |
| Dr. Diane Gillum, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103 Phone: 855-632-2667 |