Provider Demographics
NPI:1972507341
Name:MAHOSKY UKROPEC, DUSTY ISABEL (MD)
Entity Type:Individual
Prefix:DR
First Name:DUSTY
Middle Name:ISABEL
Last Name:MAHOSKY UKROPEC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1111
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-0907
Mailing Address - Country:US
Mailing Address - Phone:215-453-4995
Mailing Address - Fax:215-453-4646
Practice Address - Street 1:270 MAIN ST
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2400
Practice Address - Country:US
Practice Address - Phone:215-721-6500
Practice Address - Fax:215-721-6505
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2015-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD069901L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA038807Medicare PIN
PAH18923Medicare UPIN