Individual
GREGORY PAUL PROKOPOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-9434
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
(410) 955-9434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D52008
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
854310100
—
MD
Enumeration date
06/04/2006
Last updated
02/14/2013
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