Individual
BRIAN M MCGILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, MAIL CODE H034, HERSHEY, PA 17033-2360
(717) 531-8161
(717) 531-7726
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD13074
RI
207R00000X
Internal Medicine Physician
MD451113
PA
208M00000X
Hospitalist Physician
Primary
MD451113
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021343560002
—
PA
Enumeration date
02/22/2007
Last updated
04/03/2020
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