Provider Demographics
NPI:1982673307
Name:PROCOPE, JULIAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIAN
Middle Name:A
Last Name:PROCOPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 WILSON ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-3697
Mailing Address - Country:US
Mailing Address - Phone:717-243-2300
Mailing Address - Fax:717-258-0928
Practice Address - Street 1:220 WILSON ST
Practice Address - Street 2:SUITE 207
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3697
Practice Address - Country:US
Practice Address - Phone:717-243-2300
Practice Address - Fax:717-258-0928
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD055564L207W00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA775136OtherBLUE SHIELD
PA015456300002Medicaid
775136R2ZMedicare ID - Type Unspecified
PA775136OtherBLUE SHIELD