Individual
RANDY S HALUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033
(717) 531-8887
(717) 531-4729
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD050485L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016666540001
—
PA
Enumeration date
04/26/2006
Last updated
07/17/2018
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