Individual
DR. EDWARD JOHN HALUSIC JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
220 BESSEMER RD, MT PLEASANT, PA 15666-9122
(724) 547-0999
(724) 547-5345
Mailing address
220 BESSEMER RD, MT PLEASANT, PA 15666-9122
(724) 547-0999
(724) 547-5345
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS-021856-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS-021856-L
LICENSE NUMBER
PA
01
—
FA044331
HIGHMARK PA BLUE SHIELD
PA
Enumeration date
08/15/2006
Last updated
03/07/2023
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