Individual
STEVEN BOCCHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S 11TH ST STE 6270, PHILADELPHIA, PA 19107-4824
(159) 556-5402
(856) 596-0837
Mailing address
111 S 11TH ST STE 6210, PHILADELPHIA, PA 19107-4824
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14518600
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00618600
NJ
363LC0200X
Critical Care Medicine Nurse Practitioner
SP020493
PA
363LG0600X
Gerontology Nurse Practitioner
SP020493
PA
Other
Enumeration date
07/15/2015
Last updated
10/16/2020
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