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Individual

MR. ANDREW G PROKOP III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S., M.S.P.T.

Contact information

Practice address
215 BISCAYNE RD, BARNEGAT, NJ 08005-2616
(732) 330-6954
Mailing address
215 BISCAYNE RD, BARNEGAT, NJ 08005-2616
(732) 330-6954

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00681000
NJ

Other

Enumeration date
05/02/2007
Last updated
07/08/2007
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