Individual
PATRICK C MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, MC A410, HERSHEY, PA 17033-2360
(717) 531-6585
(717) 531-0429
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
35-087260
OH
207RH0003X
Hematology & Oncology Physician
Primary
MD468236
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224352
UNISON
OH
01
—
000000539587
ANTHEM
—
05
—
2622791
—
OH
01
—
363789
WELLCARE
—
01
—
741844
BUCKEYE
—
01
—
7877791
AETNA
—
Enumeration date
07/19/2006
Last updated
08/01/2019
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