Individual
BENJAMIN K BOEHME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 HAZEL LN STE 201, SEWICKLEY, PA 15143-1249
(412) 749-6806
Mailing address
100 HAZEL LN STE 201, SEWICKLEY, PA 15143-1249
(412) 749-6806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS020612
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT017858
PA
Other
Enumeration date
05/11/2017
Last updated
08/21/2020
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