Doctor Name: | DR. PAUL FRANK HALUSKA |
NPI Number: | 1063425833 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | SC001693L |
Business Practice Address: | 4201 Edgmont Ave Brookhaven, PA - 190152315 |
Business Phone Number: | 6108748431 |
Business Fax Number: | 6108748288 |
Mailing Address: | 4201 Edgmont Ave, BROOKHAVEN |
State: | PA |
Postal Code: | 190152315 |
Phone Number: | 6108748431 |
Fax Number: | 6108748288 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 02/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | SC001693L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |