Provider Demographics
NPI:1235450966
Name:EUGENE F. PALUSO MD LTD
Entity Type:Organization
Organization Name:EUGENE F. PALUSO MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:F
Authorized Official - Last Name:PALUSO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-228-0782
Mailing Address - Street 1:380 W CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4657
Mailing Address - Country:US
Mailing Address - Phone:724-228-0782
Mailing Address - Fax:724-228-7585
Practice Address - Street 1:380 W CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4657
Practice Address - Country:US
Practice Address - Phone:724-228-0782
Practice Address - Fax:724-228-7585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD029870L207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & NeckGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA017853Medicare PIN