# HALEY PROFESSIONAL COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HALEY FAMILY PRACTICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790967644
- **Authorized official:** DR. MATTHEW C HALEY D.O. (PRESIDENT)
- **Authorized official phone:** (570) 281-3366

## Contact information

- **Practice address:** 10 DUNDAFF ST, CARBONDALE, PA 18407-1869
- **Practice address phone:** (570) 281-3366
- **Practice address fax:** (570) 281-3373
- **Mailing address:** 10 DUNDAFF ST, CARBONDALE, PA 18407-1869
- **Mailing address phone:** (570) 281-3366
- **Mailing address fax:** (570) 281-3373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS009640L | PA | Yes |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 01/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001703829 | — | PA |
| 01 | — | 002913 | FIRST PRIORITY HEALTH | — |
| 01 | — | 51793 | GEISINGER | — |