Individual
MR. ROCCO MICHAEL BIANCO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1331 E WYOMING AVE, PHILADELPHIA, PA 19124-3808
(215) 537-7660
Mailing address
7734 HESSON LN, PENNSAUKEN, NJ 08109-5604
(609) 425-4617
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR12747600
NJ
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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