Iantosca, Mark Robert
Iantosca, Mark Robert is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Iantosca, Mark Robert can be contacted via phone (800) 243-1455.Contact Information
Primary practice address
500 University Dr
Hershey PA 17033-2360
Phone: (800) 243-1455
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 036210 | Connecticut |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD429820 | Pennsylvania |
Profile Details
| NPI number | 1386694925 |
|---|---|
| LBN Legal business name | Iantosca, Mark Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Nov 16th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386694925 | NPPES |
| Pennsylvania | MEDICAID | 1017101470001 | |
| Pennsylvania | MEDICAID | 001362102 |
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