Organization
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIAN GROUP
Active
Other names
MSHMC Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD MCKENNA (PRESIDENT)
(717) 531-3979
Entity
Organization
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, MCA410, HERSHEY, PA 17033-0858
(717) 531-1159
(717) 531-7269
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
2085N0700X
Neuroradiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085R0205X
Radiological Physics Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007452910073
—
PA
Enumeration date
02/17/2006
Last updated
01/21/2025
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