Individual
DR. BENJAMIN FRANK COCCHIARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
2913 KENSINGTON AVE, PHILADELPHIA, PA 19134-3016
(215) 285-2321
Mailing address
2225 MARTHA ST, PHILADELPHIA, PA 19125-2025
(215) 285-2321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD465329
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032814180002
—
PA
Enumeration date
05/31/2015
Last updated
01/07/2020
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