Provider Demographics
NPI:1700844354
Name:BOKOR, GYULA (MD)
Entity Type:Individual
Prefix:
First Name:GYULA
Middle Name:
Last Name:BOKOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 BELMONT CT
Mailing Address - Street 2:APT .#8
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-4761
Mailing Address - Country:US
Mailing Address - Phone:508-977-3663
Mailing Address - Fax:
Practice Address - Street 1:TAUNTON STATE HOSPITAL
Practice Address - Street 2:60 HODGES AVE, EXT
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780
Practice Address - Country:US
Practice Address - Phone:508-977-3663
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2267092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry