Individual
JENNIFER BOCCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 HOSPITAL DR DEPT OF, ST JOHNSBURY, VT 05819-9210
(802) 748-8141
(802) 748-4098
Mailing address
47 NEW SCOTLAND AVENUE, DEPT OF EMERGENCY MEDICINE, ALBANY, NY 12208-3412
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
042.0016990
VT
390200000X
Student in an Organized Health Care Education/Training Program
64270
—
Other
Enumeration date
03/24/2020
Last updated
06/09/2023
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