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Organization
PENN STATE HEALTH MEDICAL GROUP, LLC
Active
Organization
PENN STATE HEALTH MEDICAL GROUP, LLC
Active
Parent organization
PENN STATE HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN STATE HEALTH
Authorized official
TRACY L MOYER-SWINKO (EXECUTIVE VICE PRESIDENT/CFO)
(717) 531-8477
Entity
Organization
Contact information
Practice address
100 CRYSTAL A DR, HERSHEY, PA 17033-9524
(833) 774-3627
Mailing address
PO BOX 825972, PHILADELPHIA, PA 19182-5972
(717) 531-4859
(717) 312-3104
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
03/18/2024
Last updated
02/03/2026
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