Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | OT013582 | PA |
NPI | 1003127291 |
---|---|
Provider Name | Stephanie A. Cohrac |
First Address | Bethlehem, PA 18017-7300 |
Second Address | Bethlehem, PA 18017-7300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2010 |
Last Update Date | 17/10/2014 |