Individual
DR. DAVID L SHUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, SUITE 102, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
32 COLONNADE WAY, STATE COLLEGE, PA 16803-2309
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD026767E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026122110001
—
PA
Enumeration date
05/05/2006
Last updated
12/28/2011
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