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Organization

BOCCIA HOLDING COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALFRED BOTTONE (MANAGING MEMBER)
(267) 253-9907
Entity
Organization

Contact information

Practice address
2300 S BROAD ST STE 204, PHILADELPHIA, PA 19145-4462
(267) 253-9907
Mailing address
2300 S BROAD ST STE 204, PHILADELPHIA, PA 19145-4462

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
11/04/2021
Last updated
11/04/2021
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