Individual
JOSEPH ANTHONY BOCCHINI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2032 ELIZABETH AVE, SHREVEPORT, LA 71104-2123
(318) 698-0035
(318) 698-0078
Mailing address
2032 ELIZABETH AVE, SHREVEPORT, LA 71104-2123
(318) 698-0035
(318) 698-0078
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
03937R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1171166
—
LA
01
—
5J243F600
MEDICARE - PTAN
LA
Enumeration date
07/20/2006
Last updated
06/18/2021
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