Organization
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP
Active
Other names
MSHMC Good Drive
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD MCKENNA (PRESIDENT)
(717) 531-3979
Entity
Organization
Contact information
Practice address
694 GOOD DR, LANCASTER, PA 17601-2433
(717) 544-3754
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(717) 531-1159
(717) 531-7269
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
135101
PA
208000000X
Pediatrics Physician
135101
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007452910088
—
PA
Enumeration date
01/30/2007
Last updated
01/22/2025
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