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 |