Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | C1-0003979 | DE |
NPI | 1124023742 |
---|---|
Provider Name | Dr. Pietro V. Rocca |
First Address | Newark, DE 19713-2145 |
Second Address | Newark, DE 19713-2145 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2005 |
Last Update Date | 05/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000478502 | (05) | DE |
F46382 | (02) |