Healthcare Provider Details

I. General information

NPI: 1922912260
Provider Name (Legal Business Name): THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIAN GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 N 6TH ST FL 2
READING PA
19601-3096
US

IV. Provider business mailing address

500 UNIVERSITY DRIVE MC CA 410
HERSHEY PA
17033-2360
US

V. Phone/Fax

Practice location:
  • Phone: 610-208-4558
  • Fax: 610-206-4647
Mailing address:
  • Phone: 717-531-1061
  • Fax: 717-531-0119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DONALD MCKENNA
Title or Position: PRESIDENT
Credential:
Phone: 717-531-3979