Individual
JANSIE PROZESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6597
(717) 531-7790
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
LT000563
PA
207L00000X
Anesthesiology Physician
Primary
MD433628
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011785610001
—
PA
Enumeration date
05/11/2006
Last updated
07/21/2022
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