TRACY B FAUSNIGHT MD

Allergy and Immunology

Hershey, Pennsylvania

Provider NPI: 1194779512

Provider Information:
 TRACY B FAUSNIGHT MD


Practice Location:
500 UNIVERSITY DR HS 83 HERSHEY, PA 17033 US
Tel: 800-243-1455  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	2080P0201X	Physicians Pediatrics Pediatric Allergy & Immunology	PA	MD070838L
N	207K00000X	Physicians Allergy & Immunology	PA	MD070838L

Other Provider Identifiers:

Issuer	Number	State	Type
	0018866580001	PA	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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