Individual
BRIAN T BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
658 HARLEYSVILLE PIKE, SUITE 120, HARLEYSVILLE, PA 19438-2824
(215) 256-9655
(215) 256-9868
Mailing address
658 HARLEYSVILLE PIKE, SUITE 120, HARLEYSVILLE, PA 19438-2824
(215) 256-9655
(215) 256-9868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006152-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0299249000
KEYSTONE
PA
01
—
1197049
CIGNA
PA
01
—
4216167
AETNA
PA
01
—
B0114016
BLUE SHIELD
PA
Enumeration date
06/19/2006
Last updated
07/08/2007
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