| Penn State Health Medical Group, Llc | |
|
100 Crystal A Dr Hershey PA 17033-9524 | |
| (833) 774-3627 | |
| Not Available |
| Full Name | Penn State Health Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Crystal A Dr, Hershey, Pennsylvania |
| Authorized Official Name and Position | Tracy L Moyer-swinko (EXECUTIVE VICE PRESIDENT/CFO) |
| Authorized Official Contact | 7175318477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn State Health Medical Group, Llc Po Box 825972 Philadelphia PA 19182-5972 Ph: (717) 531-4859 | Penn State Health Medical Group, Llc 100 Crystal A Dr Hershey PA 17033-9524 Ph: (833) 774-3627 |
| NPI Number | 1457110793 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 02/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457110793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
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