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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
Penn State Health Medical Group-Andrews Patel Hematology/Oncology, PSHMG - Hematology/Cancer Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN STATE HEALTH
Authorized official
TRACY L MOYER-SWINKO (VP AND CHIEF FINANCIAL OFFICER)
(717) 531-8477
Entity
Organization
Contact information
Practice address
4518 UNION DEPOSIT RD, HARRISBURG, PA 17111-2921
(717) 526-1030
(717) 526-1032
Mailing address
PO BOX 825972, PHILADELPHIA, PA 19182-5972
(717) 531-4859
(717) 312-3104
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
NULL
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
2086X0206X
Surgical Oncology Physician
—
NULL
2086X0206X
Surgical Oncology Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Enumeration date
07/05/2018
Last updated
02/03/2026
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