Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101238246 | VA |
Y | 2080P0214X | Pediatric Pulmonologist | 0101238246 | VA |
NPI | 1336198126 |
---|---|
Provider Name | Jose F. Chocano |
First Address | Baltimore, MD 21279-0137 |
Second Address | Norfolk, VA 23507-1910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 19/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010166772 | (05) | VA |
5900841 | (05) | NC |
G31849 | (02) |