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1184616427
EDWARD K PROKOP
NEW HAVEN, CT
NPI
1184616427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207U00000X Nuclear Medicine
(Licence: CT 016679)
Enumeration Date
2005-08-22
Last Update Date
2007-07-08
Business Address
-- EDWARD K PROKOP MD
1450 CHAPEL ST
NEW HAVEN, CT 06511-4405
Phone number: 203-789-3124
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Mailing Address
-- EDWARD K PROKOP MD
PO BOX 8416
NEW HAVEN, CT 06530-0416
Phone number: 203-777-6209
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