Provider Demographics
NPI:1497850101
Name:HARAKAL, THOMAS PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:PAUL
Last Name:HARAKAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5649 WYNNEWOOD DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LAURYS STATION
Mailing Address - State:PA
Mailing Address - Zip Code:18059-1138
Mailing Address - Country:US
Mailing Address - Phone:610-261-1650
Mailing Address - Fax:610-261-9601
Practice Address - Street 1:5649 WYNNEWOOD DR
Practice Address - Street 2:SUITE 202
Practice Address - City:LAURYS STATION
Practice Address - State:PA
Practice Address - Zip Code:18059-1138
Practice Address - Country:US
Practice Address - Phone:610-261-1650
Practice Address - Fax:610-261-9601
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018131-E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD018131-EOtherMEDICAL LICENSE NUMBER