Provider Demographics
NPI:1407868094
Name:ROCCO, THOMAS PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PETER
Last Name:ROCCO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1400 VFW PKWY
Mailing Address - Street 2:CARDIOLOGY DEPT
Mailing Address - City:WEST ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02132-4927
Mailing Address - Country:US
Mailing Address - Phone:857-203-5325
Mailing Address - Fax:857-203-5550
Practice Address - Street 1:1400 VFW PKWY
Practice Address - Street 2:CARDIOLOGY DEPT
Practice Address - City:WEST ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02132-4927
Practice Address - Country:US
Practice Address - Phone:857-203-5325
Practice Address - Fax:857-203-5550
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAMR0481159A207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease