Individual
DR. HENRY S BOBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
892 MAIN ST, SUGAR NOTCH, PA 18706-2015
(570) 822-6916
(570) 824-6936
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
MD036890E
PA
207R00000X
Internal Medicine Physician
Primary
MD036890E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010621420001
—
PA
Enumeration date
07/07/2005
Last updated
04/25/2014
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