Individual
DR. TINA M. HOCKENBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7399
(570) 808-5647
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS013665
PA
208M00000X
Hospitalist Physician
Primary
OS013665
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017110190001
—
PA
Enumeration date
08/05/2006
Last updated
08/21/2020
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