Individual
EVAN ROBERT VENEZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(484) 796-1146
Mailing address
PO BOX 854, MCA410, HERSHEY, PA 17033-0854
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
20A23489
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2023
Last updated
05/15/2026
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