Organization
HALEY PROFESSIONAL COMPANY
Active
Other names
HALEY FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C HALEY D.O. (PRESIDENT)
(570) 281-3366
Entity
Organization
Contact information
Practice address
10 DUNDAFF ST, CARBONDALE, PA 18407-1869
(570) 281-3366
(570) 281-3373
Mailing address
10 DUNDAFF ST, CARBONDALE, PA 18407-1869
(570) 281-3366
(570) 281-3373
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009640L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001703829
—
PA
01
—
002913
FIRST PRIORITY HEALTH
—
01
—
51793
GEISINGER
—
Enumeration date
12/03/2007
Last updated
01/20/2011
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