# PENN STATE HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PENN STATE HEALTH
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578218152
- **Legal business name:** PENN STATE HEALTH
- **Authorized official:** TRACY L MOYER-SWINKO (VP/CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (717) 531-8477

## Contact information

- **Practice address:** 2494 BERNVILLE RD STE 201, READING, PA 19605-9468
- **Practice address phone:** (610) 378-2225
- **Practice address fax:** (610) 208-8839
- **Mailing address:** PO BOX 825972, PHILADELPHIA, PA 19182-5972
- **Mailing address phone:** (717) 531-4859
- **Mailing address fax:** (717) 312-3104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/13/2022
- **Last updated:** 02/04/2026