Individual
DOM N ACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 232-9971
Mailing address
110 S 17TH ST, HARRISBURG, PA 17104-1123
(717) 232-9971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059150
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103327689-0002
—
MD
Enumeration date
07/18/2017
Last updated
12/08/2022
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