Individual
DR. ROCCO JOHN BASCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 OLD DENBIGH BLVD STE 1020A, LIFELONG HEALTH & AGING SERVICES, NEWPORT NEWS, VA 23602-2017
(757) 875-2009
Mailing address
856 J CLYDE MORRIS BLVD STE A, RIVERSIDE MEDICAL GROUP, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-047004
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101260995
VA
Other
Enumeration date
10/24/2006
Last updated
02/22/2024
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