Individual
JONATHON KIRK MAFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 531-5596
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD471231
PA
2085R0202X
Diagnostic Radiology Physician
273694
MA
2085R0202X
Diagnostic Radiology Physician
MD471231
PA
Other
Enumeration date
06/13/2013
Last updated
09/08/2020
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