Phillip A Boccagno in Clarks Summit - Internal Medicine
Phillip A Boccagno - NPI 1639159510
Phillip A Boccagno is a Internal Medicine in Clarks Summit, Pennsylvania. Phillip A Boccagno practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Phillip A Boccagno is 1639159510. The last update date is 2011-01-11.
Phillip A Boccagno's current location address is 231 Northern Blvd, Clarks Summit, Pennsylvania. You can contact this provider via phone number 5705874113 and fax number 5705877703. The mailing address for Phillip A Boccagno is 231 Northern Blvd, Clarks Summit, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip A Boccagno |
|---|---|
| Address | 231 Northern Blvd, Clarks Summit, Pennsylvania |
| Phone Number | 5705874113 |
| Fax Number | 5705877703 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639159510 |
|---|---|
| Provider Enumeration Date | 2006-01-18 |
| Last Updated Date | 2011-01-11 |
Provider Mailing Address Detail
| Address | 231 Northern Blvd |
|---|---|
| City | Clarks Summit |
| State | Pennsylvania (PA) |
| Post Code | 184119189 |
| Phone Number | 5705874113 |
| Fax Number | 5705877703 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MD022568E |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 93540 | PA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Phillip A Boccagno by the Centers for Medicare & Medicaid Services?
The Phillip A Boccagno has been issued the NPI (National Provider Identifier) 1639159510. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Phillip A Boccagno is physically located?
The Phillip A Boccagno is physically situated at the following address: 231 Northern Blvd, Clarks Summit, PA, 184119189.
What is Phillip A Boccagno's specialized field of practice, and what is the corresponding taxonomy classification code?
The Phillip A Boccagno's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
When did Phillip A Boccagno receive its 1639159510 assignment?
The Phillip A Boccagno was assigned its 1639159510 on 2006-01-18, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Phillip A Boccagno last refreshed?
The information related to the Phillip A Boccagno, including its address, specialty, and other relevant details, was last updated on 2011-01-11.