Philadelphia Jeane Prokop in West Orange - Clinical
Philadelphia Jeane Prokop - NPI 1255591129
Philadelphia Jeane Prokop is a Clinical in West Orange, New Jersey. Philadelphia Jeane Prokop practices all healthcare services and medical treatments related to Clinical. The NPI Number for Philadelphia Jeane Prokop is 1255591129. The last update date is 2008-06-13.
Philadelphia Jeane Prokop's current location address is 14 Rainbow Ter, West Orange, New Jersey. You can contact this provider via phone number 9733250870. The mailing address for Philadelphia Jeane Prokop is 14 Rainbow Ter, West Orange, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philadelphia Jeane Prokop |
|---|---|
| Address | 14 Rainbow Ter, West Orange, New Jersey |
| Phone Number | 9733250870 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW/LCADC |
NPI Number Detail
| NPI Number | 1255591129 |
|---|---|
| Provider Enumeration Date | 2008-06-13 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 14 Rainbow Ter |
|---|---|
| City | West Orange |
| State | New Jersey (NJ) |
| Post Code | 70525023 |
| Phone Number | 9733250870 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 44SC05363800 |
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What is the Philadelphia Jeane Prokop's 1255591129?
The Philadelphia Jeane Prokop's NPI (National Provider Identifier) Number is 1255591129. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Philadelphia Jeane Prokop is located?
The Philadelphia Jeane Prokop is situated at the following address: 14 Rainbow Ter, West Orange, NJ, 70525023.
What is Philadelphia Jeane Prokop's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Philadelphia Jeane Prokop is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255591129 to Philadelphia Jeane Prokop?
The Centers for Medicare & Medicaid Services originally issued the 1255591129 to Philadelphia Jeane Prokop on 2008-06-13.
As of what date were the Philadelphia Jeane Prokop's details last updated?
The information pertaining to the Philadelphia Jeane Prokop, including its address, specialty, and other details, was most recently updated on 2008-06-13.
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