Individual
GEORGE G BOCOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E MARSHALL STREET, WESTCHESTER, PA 19380
(610) 431-5131
(215) 945-6809
Mailing address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
M-2052
GU
2085N0904X
Nuclear Radiology Physician
MD042554E
PA
2085R0202X
Diagnostic Radiology Physician
Primary
M-2052
GU
2085R0202X
Diagnostic Radiology Physician
MD042554E
PA
2085R0202X
Diagnostic Radiology Physician
MTL-2016-058
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018825970006
—
PA
Enumeration date
06/22/2006
Last updated
11/19/2020
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