Individual
JACEK BOCHENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BOWMAN DR, VOORHEES, NJ 08043
(856) 325-3000
(609) 261-5842
Mailing address
100 PENN SQUARE EAST, 9TH FLOOR NORTH TOWER, PHILADELPHIA, PA 19107
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA08892700
NJ
208000000X
Pediatrics Physician
Primary
MD441187
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025289220003
—
PA
Enumeration date
12/24/2009
Last updated
11/26/2018
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