DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WIESLAW K. PROKOP, M.D.

Active

DR. WIESLAW K. PROKOP, M.D. is a Pain Medicine (Anesthesiology) healthcare provider located in BALA CYNWYD, Pennsylvania. NPI 1144212879 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (Anesthesiology) · BALA CYNWYD, PA

Registration Details

NPI Number
1144212879
Provider Type
Individual
Gender
Male
NPI Issued
Aug 18, 2005 (21.03594495508 yrs)
Last Updated
Jun 20, 2012
License
MD419479 (PA)

Practice Information

Address
15 PRESIDENTIAL BLVD
SUITE 100
BALA CYNWYD, PA, 190041000
Browse PA providers · Browse ZIP 19004
Phone
6107957366
Fax
6106644749
Primary Specialty
Pain Medicine (Anesthesiology)
207LP2900X

Other Pain Medicine (Anesthesiology) Providers in BALA CYNWYD, PA

Name Credential NPI
SANJAY GUPTA MD 1215963038
DR. WILHELMINA CORNELIA KOREVAAR MD 1780915736
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.