Individual
ROY E MONSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2025 TECHNOLOGY PKWY STE 301, MECHANICSBURG, PA 17050-9402
(717) 642-5666
(717) 642-4292
Mailing address
409 S 2ND ST STE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD035202L
PA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
MD035202L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000175361
HIGHMARK BLUE SHIELD
PA
05
—
000962488
—
PA
01
—
50076402
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN
PA
01
—
64768
GEISINGER HEALTH PLAN
PA
Enumeration date
07/18/2005
Last updated
09/10/2018
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