Individual
DR. MITCHELL MACHTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 531-0882
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
35-094475
OH
2085R0001X
Radiation Oncology Physician
Primary
MD-045031-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001560010
—
PA
05
—
2996610
—
OH
05
—
6590802
—
NJ
Enumeration date
07/25/2006
Last updated
09/09/2020
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