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NPI Code Detail

MEDICARE: DR. MARY F BOHNER MD

MEDICARE: DR. MARY F BOHNER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistMD025925EPA

General Provider Information

NPI Number : 1679541379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY F BOHNER MD
Provider Business Mailing Address
First Line : 101 ORCHARD DR
Second Line : UNIVERSITY CENTER @ LEVEL GREEN
City : TRAFFORD
State : PA
Zip : 15085-1640
Country : US
Telephone Number : 412-856-7332
Fax Number :
Provider Business Practice Location Address
First Line : 101 ORCHARD DR
Second Line : UNIVERSITY CENTER @ LEVEL GREEN
City : TRAFFORD
State : PA
Zip : 15085-1640
Country : US
Telephone Number : 412-856-7332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MARY F BOHNER MD” Practice Location

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