Individual
CORY D SEFCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1850 E PARK AVE, STE 112, STATE COLLEGE, PA 16803-6706
(814) 865-3566
(814) 863-7803
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA002771L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031716950001
—
PA
Enumeration date
04/13/2006
Last updated
03/11/2020
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