Individual
DR. JOHN SALVATORE BOCCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10931 STRICKLAND RD, SUITE 131, RALEIGH, NC 27615-2085
(919) 518-1234
(919) 518-0878
Mailing address
10931 STRICKLAND RD, SUITE 131, RALEIGH, NC 27615-2085
(919) 518-1234
(919) 518-0878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2196
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0829C
BCBSNC
NC
01
—
350045059
RAILROAD MEDICARE
NY
01
—
5754696
AETNA
NC
05
—
890829C
—
NC
Enumeration date
08/03/2005
Last updated
12/23/2014
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