Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Sep 30, 2019
License(s)
LT000831 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 858 MC A410 | Hershey, PA 17033-0858 | 800-243-1455 |
| LOCATION | 500 UNIVERSITY DRIVE | Hershey, PA 17033-0858 | 800-243-1455 |
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