Individual
DR. BENJAMIN A KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
(215) 955-6161
(215) 923-5507
Mailing address
111 S 11TH ST, SUITE 8490, PHILADELPHIA, PA 19107-4824
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD074212L
PA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD074212L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012316220001
—
PA
Enumeration date
06/10/2006
Last updated
06/18/2015
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