Individual
BRYAN E ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD418706
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018858390001
—
PA
Enumeration date
04/14/2006
Last updated
03/02/2019
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