Individual provider · Type 1 NPI
Jacqueline Kalis Bohanko, PA-C
Medical Physician Assistant · Cinnaminson, NJ
NPI number
1760631279
Active
Practice location
2099 New Albany Rd
Cinnaminson, NJ 08077-3534
Fax (856) 772-1997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 25MP00879200 (NJ) |
| Medical Physician Assistant Primary | 363AM0700X | MA053571 (PA) |
Medical Physician Assistant: Definition to come...
9 other providers at this address
- Barbara Bernstein, MDPediatrics Physician Cinnaminson, NJ NPI 1861414922
- Debra Weissbach, MDPediatrics Physician Cinnaminson, NJ NPI 1689696742
- Gabrielle Marie Bruno, PAPhysician Assistant Cinnaminson, NJ NPI 1568021640
- Juliann Gee, PA-CPhysician Assistant Cinnaminson, NJ NPI 1841067568
- Lawrence Ahr, MDPediatrics Physician Cinnaminson, NJ NPI 1144244294
- Mark Hummel, MDPediatrics Physician Cinnaminson, NJ NPI 1598787673
- Matthew Boulis, MDPediatrics Physician Cinnaminson, NJ NPI 1245252394
- Sunita Coutinho-Haas, MDPediatrics Physician Cinnaminson, NJ NPI 1770505828
- Victoria Avery, PA-CPhysician Assistant Cinnaminson, NJ NPI 1710350061
Other medical physician assistant providers in Cinnaminson
About NPI 1760631279
Jacqueline Kalis Bohanko, PA-C's National Provider Identifier is 1760631279, issued on Sep 9, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cinnaminson, NJ. The record was last updated on Sep 17, 2024.