Healthcare Provider Details

I. General information

NPI: 1891767877
Provider Name (Legal Business Name): SILVINA M. BOCCA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 09/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 COLLEY AVE
NORFOLK VA
23507-1627
US

IV. Provider business mailing address

PO BOX 936
NORFOLK VA
23501-0936
US

V. Phone/Fax

Practice location:
  • Phone: 757-446-7100
  • Fax: 757-446-7455
Mailing address:
  • Phone: 757-446-7100
  • Fax: 757-446-7455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number0101229724
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: