Individual
TIMOTHY J CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 531-0919
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
OS009107L
PA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
OS009107L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015645560002
—
PA
Enumeration date
05/09/2006
Last updated
10/08/2020
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