Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | OT013174 | PA |
NPI | 1003043555 |
---|---|
Provider Name | Julie Orlosky |
First Address | Washington, PA 15301-3368 |
Second Address | Washington, PA 15301-3368 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2009 |
Last Update Date | 11/06/2009 |