Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | OS002525L | PA |
NPI | 1174641872 |
---|---|
Provider Name | Dr. Joseph Paul Hutsko |
First Address | Allentown, PA 18103-7650 |
Second Address | Allentown, PA 18103-7650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D98582 | (02) | PA |