| NPI | 1457326712 |
|---|---|
| Other Name | PENN STATE HERSHEY MEDICAL GROUP-PARK AVENUE |
| Entity Type | Organization |
| Authorized Contact | DONALD MCKENNA Presient 717-531-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2025-01-21 |