Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Susan E Prockop, MD

Individual provider Pediatrics Physician · NPI 1053382531

Susan E Prockop, MD is a Pediatrics Physician in Boston, Massachusetts. Works from 2 locations. Licensed in Massachusetts and New York.

Licensed in
MA, NY
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 450 Brookline Ave, Boston, MA 02215-5450 — (617) 355-6000

Specialties & licences

Pediatric Hematology & Oncology Physician (primary) Taxonomy 2080P0207X · Licence 290759 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence 204532 (NY)
Pediatric Hematology & Oncology Physician Taxonomy 2080P0207X · Licence 204532 (NY)

Record details

NPI number1053382531
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 31, 2006
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 19, 2022

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