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Individual

BRYAN BOCCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
2440 HAMBURG TPKE, WAYNE, NJ 07470-6226
(973) 839-3400
Mailing address
47 STARLITE DR, CLARK, NJ 07066-2926
(732) 259-2593

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00471600
NJ

Other

Enumeration date
11/02/2013
Last updated
12/31/2025
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