Organization
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP
Active
Other names
UPG Adolescent Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD MCKENNA (PREDIENT)
(717) 531-3979
Entity
Organization
Contact information
Practice address
905 GOVERNOR RD, HERSHEY, PA 17033
(800) 243-1455
Mailing address
PO BOX 858, MCA410, HERSHEY, PA 17033-0858
(717) 531-1159
(717) 531-7269
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
135101
PA
207RG0100X
Gastroenterology Physician
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
135101
PA
2084P0804X
Child & Adolescent Psychiatry Physician
135101
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007452910089
—
PA
Enumeration date
02/21/2006
Last updated
01/21/2025
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