Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE KALIS BOHANKO, PA-C
ActiveJACQUELINE KALIS BOHANKO, PA-C is a Medical Physician Assistant healthcare provider located in CINNAMINSON, New Jersey. NPI 1760631279 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CINNAMINSON, NJ
Registration Details
- NPI Number
- 1760631279
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2008 (17.783154617482 yrs)
- Last Updated
- Sep 17, 2024
- Licenses
-
25MP00879200 (NJ)MA053571 (PA)
Practice Information
- Address
-
2099 NEW ALBANY RDCINNAMINSON, NJ, 080773534Browse NJ providers · Browse ZIP 08077
- Phone
- 0992688996
- Fax
- 8567721997
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in CINNAMINSON, NJ
| Name | Credential | NPI |
|---|---|---|
| NICOLE L HAWK | PA-C | 1336477124 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.