Doctor Name: | JOHN T. HUSOKOWSKI |
NPI Number: | 1235217001 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | G30380 |
Business Practice Address: | 3090 Stonegate Dr Alamo, CA - 945071760 |
Business Phone Number: | 9259355465 |
Business Fax Number: | |
Mailing Address: | 3090 Stonegate Dr, ALAMO |
State: | CA |
Postal Code: | 945071760 |
Phone Number: | 9259355465 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 01/05/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | G30380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |