Individual
DR. JENNIFER L PROCOPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2301 S. BROAD STREET, 2ND FLOOR, PHILADELPHIA, PA 19148-3542
(215) 952-9936
(215) 952-1247
Mailing address
2301 S. BROAD STREET, 2ND FLOOR, PHILADELPHIA, PA 19148-3542
(215) 952-9936
(215) 952-1247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MB07811900
NJ
207Q00000X
Family Medicine Physician
Primary
OS013413
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102938
—
NJ
05
—
102106001
—
PA
Enumeration date
05/16/2006
Last updated
01/20/2015
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