Individual
MR. EDWARD J POHODICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2616 MEMORIAL BLVD STE B, CONNELLSVILLE, PA 15425-1418
(724) 628-9350
(724) 628-9353
Mailing address
2616 MEMORIAL BLVD STE B, CONNELLSVILLE, PA 15425-1418
(724) 628-9350
(724) 628-9353
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007926
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074242SL3
MEDICARE NUMBER
PA
Enumeration date
11/03/2005
Last updated
10/21/2015
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