Individual
JOSEPH JOHN BOCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
770 BALGREEN DR FL 1, MANSFIELD, OH 44906-4106
(419) 756-6366
Mailing address
770 BALGREEN DR FL 1, MANSFIELD, OH 44906-4106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.066999
OH
208D00000X
General Practice Physician
Primary
35.066999
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
979482
—
OH
Enumeration date
02/08/2007
Last updated
12/06/2022
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