Individual
ANDREW J STUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1701 WYOMING AVE, EXETER, PA 18643-1491
(570) 655-2959
(570) 655-9213
Mailing address
1701 WYOMING AVE, EXETER, PA 18643-1491
(570) 655-2959
(570) 655-9213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS003170L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006705810001
—
PA
01
—
003089
FIRST PRIORITY HEALTH
PA
01
—
101523
FIRST PRIORITY LIFE INSURANCE
PA
Enumeration date
05/11/2006
Last updated
05/02/2008
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