Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 20, 2019
License(s)
MD483333 (PA), 279112 (MA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 500 UNIVERSITY DR | Hershey, PA 17033-2360 | 800-243-1455 |
| LOCATION | 500 UNIVERSITY DR | Hershey, PA 17033-2360 | 717-531-4935 |
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