Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | SC004740L | PA |
N | 222Z00000X | Podiatrist | SC004740L | PA |
N | 213EP0504X | Public Medicine | SC004740L | PA |
N | 213EP1101X | Primary Podiatric Medicine | SC004740L | PA |
N | 111NR0200X | Radiology | SC004740L | PA |
N | 213ER0200X | Radiology | SC004740L | PA |
N | 2081S0010X | Sports Medicine | SC004740L | PA |
N | 213ES0000X | Sports Medicine | SC004740L | PA |
Y | 213ES0103X | Foot & Ankle Surgery | SC004740L | PA |
N | 213ES0131X | Foot Surgery | SC004740L | PA |
NPI | 1316902604 |
---|---|
Provider Name | Dr. Thomas Michael Rocchio |
First Address | Allentown, PA 18104-6172 |
Second Address | Allentown, PA 18104-6172 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 10/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1022148500001 | (05) | PA |