Healthcare Provider Details

I. General information

NPI: 1508703307
Provider Name (Legal Business Name): THOMAS ARTHUR BUCK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

IV. Provider business mailing address

164 E EMAUS ST
MIDDLETOWN PA
17057-1713
US

V. Phone/Fax

Practice location:
  • Phone: 717-395-0601
  • Fax: 717-531-3878
Mailing address:
  • Phone: 717-395-0601
  • Fax: 717-395-0601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number053632
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: