Individual
REBECCA T SIVARAJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8044
(717) 531-5596
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
231030
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD432840
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021232630002
—
PA
Enumeration date
03/09/2007
Last updated
04/10/2017
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