Dr WIESLAW K PROKOP MD is a male medical professional, specializing in Anesthesiology. He graduated in 1988.
15 N PRESIDENTIAL BLVD
SUITE 100
BALA CYNWYD
PA
190041000
Tel:
| Npi | 1144212879 |
| Pac Id | 1951361823 |
| Professional Enrollment Id | I20041014000879 |
| Last Name | PROKOP |
| First Name | WIESLAW |
| Middle Name | K |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1988 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialty 1 | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialty 2 | PAIN MANAGEMENT |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT, PAIN MANAGEMENT |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 15 N PRESIDENTIAL BLVD |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 190041000 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 390290 |
| Hospital Affiliation Lbn 1 | HAHNEMANN UNIVERSITY HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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