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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
Other names
PSHMG - OB/GYN/MATERNAL FETAL MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN STATE HEALTH
Authorized official
TRACY L MOYER-SWINKO (VP/CHIEF FINANCIAL OFFICER)
(717) 531-8477
Entity
Organization
Contact information
Practice address
423 N 21ST ST STE 202, CAMP HILL, PA 17011-2207
(717) 763-9880
(717) 737-2765
Mailing address
PO BOX 825972, PHILADELPHIA, PA 19182-5972
(717) 531-4859
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
NULL
176B00000X
Midwife
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
NULL
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
NULL
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0201X
Gynecologic Oncology Physician
—
NULL
207VX0201X
Gynecologic Oncology Physician
—
—
Other
Enumeration date
11/18/2021
Last updated
06/29/2026
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