Organization
PAIN CARE PROFESSIONALS, INC.
Active
Other names
Pain Care Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WES PROKOP M.D. (PRESIDENT)
(610) 642-3527
Entity
Organization
Contact information
Practice address
HAHNEMANN UNIVERSITY HOSPITAL PAIN CLINIC, BROAD & VINE ST., 4TH FLOOR SOUTH TOWER, PHILADELPHIA, PA 19096
(610) 795-7375
(610) 795-7376
Mailing address
PO BOX 237, WYNNEWOOD, PA 19096-0237
(610) 642-3527
(610) 795-7376
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/18/2005
Last updated
08/22/2020
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