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Individual

DANIEL KALLUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-2640
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB12174300
NJ
207P00000X
Emergency Medicine Physician
Primary
OS023104
PA
207P00000X
Emergency Medicine Physician
OT020846
PA

Other

Enumeration date
03/26/2021
Last updated
04/17/2026
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