Provider Demographics
NPI:1174675565
Name:KROPP, DENNIS W (DO)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:W
Last Name:KROPP
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4110 BATTLES LN
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-1602
Mailing Address - Country:US
Mailing Address - Phone:610-353-6583
Mailing Address - Fax:
Practice Address - Street 1:3909 STATE RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-3213
Practice Address - Country:US
Practice Address - Phone:610-853-2544
Practice Address - Fax:610-853-1223
Is Sole Proprietor?:No
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS002654L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000632384Medicaid
PA068320Medicare ID - Type Unspecified
PA000632384Medicaid