Organization
EUGENE D HARASYM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNA JALOWIEC (CREDENTIALING COORDINATOR)
(570) 961-9947
Entity
Organization
Contact information
Practice address
921 DRINKER TURNPIKE, COVINGTON TOWNSHIP, PA 18444-7948
(570) 842-0945
(570) 842-6135
Mailing address
RR 6 BOX 6239, MOSCOW, PA 18444-9400
(570) 945-7347
(570) 945-5911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
03/21/2012
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