Individual
SALLY ANN BLAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4520 UNION DEPOSIT RD, HARRISBURG, PA 17111-2910
(717) 531-4094
(717) 531-0136
Mailing address
PO BOX 848, HERSHEY, PA 17033-0848
(717) 531-4094
(717) 531-0136
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD464188
PA
Other
Enumeration date
05/30/2013
Last updated
06/28/2021
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