Individual
MARY LYNN ELIZABETH FECILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 233-4082
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(800) 233-4082
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
L5330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153991803
—
TX
01
—
MD437434
MEDICAL LICENSE
PA
Enumeration date
09/29/2006
Last updated
10/12/2009
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