Individual
JEANMARIE ATIENZA KOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1940 WILLIAM PENN AVE, CONEMAUGH, PA 15909-1609
(814) 322-1519
(814) 322-1454
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 534-1555
(814) 535-8720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD052897L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001469440
—
PA
Enumeration date
06/14/2005
Last updated
05/03/2019
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