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Individual

ADAM BOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA ECSE

Contact information

Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
Mailing address
4507 W EXPOSITION AVE, DENVER, CO 80219-2375
(303) 596-4573

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3273082
NY

Other

Enumeration date
04/09/2024
Last updated
04/09/2024
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