Individual
DR. SEBASTIAN PROKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5659 PARKWAY DR STE 210, GLOUCESTER, VA 23061-3792
(804) 210-1025
Mailing address
3331 STREET RD STE 140, BENSALEM, PA 19020-2052
(312) 882-7527
(215) 645-0818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT227092
PA
Other
Enumeration date
07/08/2022
Last updated
07/29/2025
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