Doctor Name: | BETHANY C HUTSKO |
NPI Number: | 1023144078 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA052687 |
Business Practice Address: | 327 W Pittsburgh St Greensburg, PA - 156012234 |
Business Phone Number: | 7248367450 |
Business Fax Number: | 7248367452 |
Mailing Address: | 506 Athena Dr, DELMONT |
State: | PA |
Postal Code: | 156261005 |
Phone Number: | 7244686869 |
Fax Number: | 7244686207 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA052687 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |