Individual
VINCENT BOCCHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 S PRESTON ST, RANSON, WV 25438-1631
(304) 728-1600
(304) 725-9492
Mailing address
300 S PRESTON ST, RANSON, WV 25438-1631
(304) 728-1600
(304) 725-9492
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14254
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102230933
—
PA
01
—
P00371709
RAILROAD MEDICARE
—
Enumeration date
11/14/2006
Last updated
03/27/2023
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