Dr. Michael Daniel Harostock
Cardiothoracic Vascular Surgeon
1000 E Mountain Blvd
Wilkes Barre
, Pennsylvania 18711-0027
Dr. Michael Daniel Harostock
Cardiothoracic Vascular Surgeon
1000 E Mountain Blvd
Wilkes Barre
, Pennsylvania 18711-0027
(570) 271-6144
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael Daniel Harostock
- 100 North Academy Ave.
- Danville, PA
- Zip : 17822-4903
- Phone : (570) 271-6144
Second Address
- Dr. Michael Daniel Harostock
- 1000 E Mountain Blvd
- Wilkes Barre, PA
- Zip : 18711-0027
- Fax : (570) 808-2306
- Phone : (570) 808-6020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD028903E | PA |
National Provider Identifier
| NPI | 1013915008 |
|---|---|
| Provider Name | Dr. Michael Daniel Harostock |
| First Address | Danville, PA 17822-4903 |
| Second Address | Wilkes Barre, PA 18711-0027 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2005 |
| Last Update Date | 20/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0009611590006 | (05) | PA |
| 0018673110002 | (05) | PA |
| 378976 | HEALTH AMERICA (01) | PW |
| 432226 | MEDICARE # (01) | PA |
| 798833 | UNITED HEALTHCARE (01) | PA |
| D29694 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.