Individual
HENRY BICOCCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
801 W GIRARD AVE FL 8, PHILADELPHIA, PA 19122-4212
(215) 236-9414
Mailing address
801 W GIRARD AVE FL 8, PHILADELPHIA, PA 19122-4212
(215) 236-9414
(215) 236-3821
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000271L
PA
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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