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NPI 1851389738 · live from the CMS NPI Registry

Joong Mo Ahn, MD PhD

Radiology, Diagnostic Radiology in Hershey, PA. National Provider Identifier 1851389738, active.

NPI record

NPI1851389738 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location500 University Dr, Hershey, PA 17033
Practice phone717-531-6597
Mailing addressPo Box 858, Mc A410, Hershey, PA 17033
EnumeratedOctober 13, 2005
Last updatedAugust 23, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology primary2085R0202XMD444420 (PA)
Radiology, Diagnostic Radiology2085R0202XSP 160 (IA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.