Coccaro, Peter Joseph

Coccaro, Peter Joseph is an individual health care provider with primary practice located at 1046 E Wendover Ave , Greensboro NC 27405-6712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Coccaro, Peter Joseph can be contacted via phone (336) 272-1050.

Contact Information

Primary practice address
1046 E Wendover Ave Greensboro NC 27405-6712
Fax: (336) 272-1110
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 200901444 North Carolina

Profile Details

NPI number 1700871746
LBN Legal business name Coccaro, Peter Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Oct 25th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700871746 NPPES
West Virginia MEDICAID 3810002576
West Virginia MEDICAID 5912657

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