Individual
KATHLEEN BOCSKOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP- FAMILY
Contact information
Practice address
2112 DUNDALK AVE, BALTIMORE, MD 21222-3714
(410) 288-4800
Mailing address
2112 DUNDALK AVE, BALTIMORE, MD 21222-3714
(410) 288-4800
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
686422-1
NY
163W00000X
Registered Nurse
R220716
MD
363LF0000X
Family Nurse Practitioner
Primary
R220716
MD
Other
Enumeration date
07/13/2015
Last updated
02/02/2017
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