Individual
DR. BOGDAN PROTYNIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACS, FASCRS
Contact information
Practice address
1000 EAST MOUNTAIN BLVD, MC: 37-62, WILKES-BARRE, PA 18711
(570) 808-2340
(570) 808-7904
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD457834
PA
208C00000X
Colon & Rectal Surgery Physician
Primary
MD457834
PA
Other
Enumeration date
06/22/2010
Last updated
08/31/2020
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