Individual
DR. PETER M PROKOPIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ORTHOPEDIC DR, SECOND FLOOR, PEABODY, MA 01960-1668
(978) 818-6350
(978) 818-6355
Mailing address
1 ORTHOPEDIC DRIVE, SECOND FLOOR, PEABODY, MA 01960-1668
(978) 818-6350
(978) 818-6355
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
230631
MA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
230631
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130301
—
MA
Enumeration date
05/22/2006
Last updated
06/14/2011
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