Individual
JOHN BOBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
181 S MARKET ST, NANTICOKE, PA 18634-2305
(570) 735-6660
(570) 735-6696
Mailing address
610 WYOMING AVE, KINGSTON, PA 18704-3702
(570) 288-5441
(570) 288-5842
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD038772L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000904591
—
PA
Enumeration date
08/14/2006
Last updated
09/13/2012
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