Individual
HENRY S CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8246
(717) 531-7741
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD010074E
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MD010074E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010197310007
—
PA
Enumeration date
04/14/2006
Last updated
11/15/2019
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