Individual
FOUAD N BOCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
GEISINGER MEDICAL LABORATORY, 100 N. ACADEMY AVE, DANVILLE, PA 17822-0001
(845) 300-3901
Mailing address
GEISINGER MEDICAL LABORATORY, 100 N. ACADEMY AVE, DANVILLE, PA 17822-0001
(845) 300-3901
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
26036
AL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
430098
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00223996
RAILROAD MEDICARE
AL
Enumeration date
05/24/2006
Last updated
09/11/2025
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