Nicholle Boguslaw, PHYSICIAN ASSISTANT
NPI #1689098931 in Coal Township, Pennsylvania
Provider Information
- NPI Number
- 1689098931
- Entity Type
- Individual
- Name
- Nicholle Boguslaw, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Feb 6, 2014
- Last Updated
- Feb 6, 2014
Practice Location
- Address
- 1 KELLEY DR
- City
- Coal Township
- State
- Pennsylvania
- ZIP Code
- 17866-1020
- Phone
- (570) 644-7890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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