MEDICARE: DR. DUSTY ISABEL MAHOSKY UKROPEC MD

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	207Q00000X	Family Medicine Physician	MD069901L	PA

General Provider Information

NPI Number	:	1972507341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUSTY ISABEL MAHOSKY UKROPEC MD

Provider Business Mailing Address
First Line	:	PO BOX 1111
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-0907
Country	:	US
Telephone Number	:	215-453-4995
Fax Number	:	215-453-4646

Provider Business Practice Location Address
First Line	:	270 MAIN ST
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-2400
Country	:	US
Telephone Number	:	215-721-6500
Fax Number	:	215-721-6505

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

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	02/17/2015

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