Individual
CYNTHIA J THOMASSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 HOPE DR, SUITE 2400, HERSHEY, PA 17033-2036
(717) 531-5638
(717) 531-4205
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MA001399L
PA
363A00000X
Physician Assistant
Primary
MA001399L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031810830001
—
PA
Enumeration date
05/04/2006
Last updated
12/20/2016
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