Provider Demographics
NPI:1174641872
Name:HUTSKO, JOSEPH PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:PAUL
Last Name:HUTSKO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3037 S PIKE AVE
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-7650
Mailing Address - Country:US
Mailing Address - Phone:610-797-1220
Mailing Address - Fax:610-797-8060
Practice Address - Street 1:3037 S PIKE AVE
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-7650
Practice Address - Country:US
Practice Address - Phone:610-797-1220
Practice Address - Fax:610-797-8060
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2024-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS002525L207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAD98582Medicare UPIN