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Individual

JOHN P KOHLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 BALA AVE, SUITE 418, BALA CYNWYD, PA 19004-3212
(610) 664-6565
(610) 660-8784
Mailing address
1506 YOUNGS FORD ROAD, GLADWYNE, PA 19035
(610) 664-6565
(610) 660-8784

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AK000232L
PA
208600000X
Surgery Physician
25MA04461600
NJ
208600000X
Surgery Physician
Primary
MD031995E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010281690001
PA
05
0712302
NJ
01
085032
MEDICARE
NJ
Enumeration date
08/22/2006
Last updated
02/25/2016
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