Individual
DR. MARK WILLIAM BOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 W LACKAWANNA AVE, SCRANTON, PA 18504-2052
(570) 904-6000
(570) 871-4638
Mailing address
1020 W LACKAWANNA AVE, SCRANTON, PA 18504-2052
(570) 904-6000
(570) 871-4638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD025868E
PA
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
MD025868E
PA
Other
Enumeration date
11/12/2009
Last updated
08/11/2023
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