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NPI Code Detail

MEDICARE: THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP

MEDICARE: THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225003841
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP
Provider Business Mailing Address
First Line : PO BOX 858
Second Line : MC A410
City : HERSHEY
State : PA
Zip : 17033-0858
Country : US
Telephone Number : 717-531-1159
Fax Number : 717-531-7269
Provider Business Practice Location Address
First Line : 941 PARK DR
Second Line :
City : PALMYRA
State : PA
Zip : 17078-3445
Country : US
Telephone Number : 800-243-1455
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DONALD MCKENNA
Credential :
Telephone Number : 717-531-3979
Provider Enumeration Date : 02/17/2006
Last Update Date : 01/21/2025

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