Individual
MISS DIANA MARIA CONSOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 HOPE DR STE 1300, HERSHEY, PA 17033-2036
(717) 531-3828
(717) 531-0465
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052993
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031824290001
—
PA
Enumeration date
06/29/2007
Last updated
07/13/2020
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