Provider Demographics
NPI:1881663284
Name:BOCCIA, RALPH V (MD)
Entity Type:Individual
Prefix:
First Name:RALPH
Middle Name:V
Last Name:BOCCIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 749488
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-9488
Mailing Address - Country:US
Mailing Address - Phone:239-432-8331
Mailing Address - Fax:813-321-1296
Practice Address - Street 1:6410 ROCKLEDGE DR
Practice Address - Street 2:SUITE 660
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1809
Practice Address - Country:US
Practice Address - Phone:301-571-0019
Practice Address - Fax:301-571-0988
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD29675207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
00B185V87Medicare ID - Type Unspecified
E63765Medicare UPIN