Individual
DR. PETR BOCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
8100 ASHTON AVE STE 207B, MANASSAS, VA 20109-5688
(855) 528-7348
(855) 329-2873
Mailing address
20528 BOLAND FARM RD STE 214, GERMANTOWN, MD 20876-4038
(855) 528-7348
(855) 329-2873
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101223417
VA
174400000X
Specialist
D0061993
MD
207K00000X
Allergy & Immunology Physician
0101342217
VA
207K00000X
Allergy & Immunology Physician
Primary
D0061993
MD
Other
Enumeration date
05/08/2007
Last updated
04/25/2024
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