Individual
MR. JOSEPH A. BOBKOSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-2775
(570) 271-6523
(570) 271-8056
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055117
PA
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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