Individual
PHILLIP MICHAEL KEMP BOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
1800 LOMBARD STREET, ROOM 206, PHILADELPHIA, PA 19146-0000
(215) 615-2222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD480455
PA
2086S0127X
Trauma Surgery Physician
Primary
25MA12576700
NJ
208D00000X
General Practice Physician
0101266840
VA
Other
Enumeration date
06/13/2017
Last updated
01/21/2026
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