Individual
CALVIN BRIAN MAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033
(717) 531-6597
(717) 531-7790
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
149664
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
RN570026
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022567420004
—
PA
Enumeration date
12/23/2008
Last updated
11/19/2019
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