Provider Demographics
NPI:1205264603
Name:BOHAN, JOSEPH PATRICK (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:PATRICK
Last Name:BOHAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2110 DUGAN RD
Mailing Address - Street 2:JOSEPH P BOHAN MD
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760
Mailing Address - Country:US
Mailing Address - Phone:716-372-1522
Mailing Address - Fax:716-372-1522
Practice Address - Street 1:2110 DUGAN RD
Practice Address - Street 2:JOSEPH P BOHAN MD
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760
Practice Address - Country:US
Practice Address - Phone:716-372-1522
Practice Address - Fax:716-372-1522
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-22
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
NY119943208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAB6080674OtherDEA #