Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GERRY BOCCAROSSA, DO
Active Sole ProprietorGERRY BOCCAROSSA, DO is a Internal Medicine healthcare provider located in BLOUNTVILLE, Tennessee. NPI 1912901760 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · BLOUNTVILLE, TN
Registration Details
- NPI Number
- 1912901760
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2005 (21.171984415436 yrs)
- Last Updated
- Sep 2, 2011
- Licenses
-
DO 1162 (TN)0102201244 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
412 MOUNTAIN VIEW CTBLOUNTVILLE, TN, 376176252Browse TN providers · Browse ZIP 37617
- Phone
- 4232200650
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.