Edward K Prokop
Nuclear Medicine Specialist
1450 Chapel St
New Haven
, Connecticut 06511-4405
Edward K Prokop
Nuclear Medicine Specialist
1450 Chapel St
New Haven
, Connecticut 06511-4405
(203) 787-2431
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Edward K Prokop
- Po Box 8416
- New Haven, CT
- Zip : 06530-0416
- Fax : (203) 787-2431
- Phone : (203) 777-6209
Second Address
- Edward K Prokop
- 1450 Chapel St
- New Haven, CT
- Zip : 06511-4405
- Fax : (203) 789-4118
- Phone : (203) 789-3124
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207U00000X | Nuclear Medicine Specialist | 016679 | CT |
National Provider Identifier
| NPI | 1184616427 |
|---|---|
| Provider Name | Edward K Prokop |
| First Address | New Haven, CT 06530-0416 |
| Second Address | New Haven, CT 06511-4405 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B38006 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.