Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | SC001693L | PA |
NPI | 1063425833 |
---|---|
Provider Name | Dr. Paul Frank Haluska |
First Address | Brookhaven, PA 19015-2315 |
Second Address | Brookhaven, PA 19015-2315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 19/02/2008 |