Bocobo, George G
Bocobo, George G is an individual health care provider with primary practice located at 701 E Marshall Street , Westchester PA 19380. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bocobo, George G can be contacted via phone (610) 431-5131.Contact Information
Primary practice address
701 E Marshall Street
Westchester PA 19380
Phone: (610) 431-5131
Fax: (215) 945-6809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD042554E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MTL-2016-058 | Guam |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | MD042554E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | M-2052 | Guam |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | M-2052 | Guam |
Profile Details
| NPI number | 1760428221 |
|---|---|
| LBN Legal business name | Bocobo, George G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Nov 19th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760428221 | NPPES |
| Pennsylvania | MEDICAID | 0018825970006 |
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