STEFAN PROKOP

PHILADELPHIA, PA
NPI1033595822
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  MT209631)
Enumeration Date2015-08-04
Last Update Date2015-08-04
Business Address
-- STEFAN PROKOP M.D.
3400 SPRUCE ST DEPARTMENT OF PATHOLOGY
PHILADELPHIA, PA 19104-4238
Phone number: 215-662-4829
Mailing Address
-- STEFAN PROKOP M.D.
2028 E SUSQUEHANNA AVE
PHILADELPHIA, PA 19125-1526
Phone number: