Individual
DR. JULIE A DISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, MC H159, HERSHEY, PA 17033-2360
(717) 531-8557
Mailing address
500 UNIVERSITY DR, MC H159, HERSHEY, PA 17033-2360
(717) 531-8557
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MT205145
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT205145
PA LICENSE
PA
Enumeration date
06/24/2013
Last updated
06/10/2020
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