Minczak, Bohdan M

Minczak, Bohdan M is an individual health care provider with primary practice located at 245 N 15Th Street Ncb Room 2108, Philadelphia PA 19102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Minczak, Bohdan M can be contacted via phone (215) 762-2361.

Contact Information

Primary practice address
245 N 15Th Street Ncb Room 2108 Philadelphia PA 19102
Phone: (215) 762-2361
Fax: (215) 762-1307
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD064462L Pennsylvania

Profile Details

NPI number 1396738456
LBN Legal business name Minczak, Bohdan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated May 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396738456 NPPES
New Jersey MEDICAID 8523801
New Jersey MEDICAID 0017079530005

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