Individual provider · NPI-1
Claudia Bohdal
Physician Assistant · Lebanon, PA
NPI number1023433943
StatusActive
Last updated in NPPESFeb 28, 2014
Details
- NPI
- 1023433943
- Entity type
- Individual (NPI-1)
- Name
- Claudia Bohdal
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2014
- Last updated
- Feb 28, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MA056704 | PA | Yes |
Practice location
252 S 4th StLebanon, PA 17042-6111
Phone 717-270-7500
Mailing address
1428 Pocono BlvdMount Pocono, PA 18344-1679
Phone 570-994-2439
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