Individual
JOHN R PROTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
506 SIXTH STREET, NEW YORK METHODIST HOSPITAL, BROOKLYN, NY 11215
(718) 780-3635
(718) 780-3673
Mailing address
506 SIXTH STREET, NEW YORK METHODIST HOSPITAL, BROOKLYN, NY 11215
(718) 780-3635
(718) 780-3673
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
183245-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA07982600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082694
—
NJ
Enumeration date
06/16/2006
Last updated
04/01/2014
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