Susan E Prockop
MD | Pediatric Hematology-Oncology | Female
Susan E Prockop, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Susan E Prockop is
300 Longwood Ave, Boston, Massachusetts - 02115-5724. She can be contacted on phone at
617-355-6000.
Susan E Prockop is a sole proprietor of her business.
NPI number (Unique professional ID) for Susan E Prockop is
1053382531 which was assigned by NPPES on 31 Jan, 2006 and it was last updated on 24 Jan, 2022.
Susan E Prockop license number is
290759 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Massachusetts.
Susan E Prockop is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Susan E Prockop basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Susan E Prockop |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Susan E Prockop address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 300 Longwood Ave
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-6000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053382531 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 31 Jan, 2006 |
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| Last Updated On : | 24 Jan, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan E Prockop are as mentioned. Primary taxonomy code for Susan E Prockop, MD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 204532 | NY |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 290759 | MA |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | No | 204532 | NY |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
450 BROOKLINE AVE,
BOSTON, MA, 02215-5450
United States | BOSTON, MA | 617-355-6000 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Boston Children's Hospital,, 300 Longwood Avenue
Boston, MA, 02115-5724
United States |
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| Phone Number : | 617-355-6000 |
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Business Location:
Patients can refer following map for directions to
Susan E Prockop practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.