Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 14296 | MA |
Y | 213EG0000X | General Practice | 14296 | MA |
NPI | 1003951914 |
---|---|
Provider Name | Dr. William Allen Kropa |
First Address | Swampscott, MA 01907-2517 |
Second Address | Swampscott, MA 01907-2517 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 08/07/2007 |