Individual
TRACY B FAUSNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HS 83, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 531-0397
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
MD070838L
PA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
MD070838L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018866580001
—
PA
Enumeration date
05/20/2006
Last updated
09/12/2019
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