Healthcare Provider Details

I. General information

NPI: 1649809930
Provider Name (Legal Business Name): ANASTASIA MARIE BARROS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2020
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

IV. Provider business mailing address

500 UNIVERSITY DRIVE MC CA410
HERSHEY PA
17033
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-6597
  • Fax:
Mailing address:
  • Phone: 800-243-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License NumberC1-0026290
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: