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Individual

DR. PRAKASH C PHULWANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5908
Mailing address
221 TALL TIMBER DR, JOHNSTOWN, PA 15904-3210
(814) 269-3893

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD038289L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009659080004
PA
05
000965908006
PA
01
12371
GEISINGER
PA
01
1554363
GATEWAY
PA
01
180294
UNISON
PA
01
50058292
CAPITAL BC
PA
Enumeration date
07/31/2006
Last updated
12/28/2007
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