Most Relevant Information
Provider Data
NPI Number: | 1003078254 |
Provider Name: | PAUL MICHAEL RUTKOWSKI D.O. |
Entity Type: | Individual |
Taxonomy Code: | 208M00000X |
Specialty: | Hospitalist |
License Number: | OS015467 |
Most Important Dates
Enumeration Date: | 06/30/2008 |
Last Updated: | 04/30/2024 |
Provider Practice Location
540 PIERCE ST
KINGSTON
PA
187045760
Practice Location Phone/Fax
Phone: | 5702853570 |
Fax: | 5702853572 |
Provider Mailing Location
PO BOX 1388
KINGSTON
PA
187040379
Provider Mailing Phone/Fax
Phone: | 5702888881 |
Fax: |