MEDICARE: PAUL A SALOKY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	OS006641L	PA
2	208M00000X	Hospitalist Physician	OS006641L	PA

General Provider Information

NPI Number	:	1639168149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL A SALOKY DO

Provider Business Mailing Address
First Line	:	6850 LOWS RD
Second Line	:
City	:	BLOOMSBURG
State	:	PA
Zip	:	17815-8708
Country	:	US
Telephone Number	:	570-784-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	6850 LOWS RD
Second Line	:
City	:	BLOOMSBURG
State	:	PA
Zip	:	17815-8708
Country	:	US
Telephone Number	:	570-784-7300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	04/19/2018

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Directions to “ PAUL A SALOKY DO” Practice Location

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