Provider Demographics
NPI:1295737518
Name:GLUSKO, DAVID A (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:GLUSKO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 BEACHLEY ST
Mailing Address - Street 2:
Mailing Address - City:MEYERSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15552-1220
Mailing Address - Country:US
Mailing Address - Phone:814-634-5935
Mailing Address - Fax:814-634-9140
Practice Address - Street 1:202 BEACHLEY ST
Practice Address - Street 2:
Practice Address - City:MEYERSDALE
Practice Address - State:PA
Practice Address - Zip Code:15552-1220
Practice Address - Country:US
Practice Address - Phone:814-634-5935
Practice Address - Fax:814-634-9140
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012083207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101023488Medicaid
PAI12248Medicare UPIN
PA081538Medicare PIN