Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | DO034656 | DC |
Y | 2080P0214X | Pediatric Pulmonologist | OS020385 | PA |
NPI | 1023420494 |
---|---|
Provider Name | Amy Ann Dooley |
First Address | Hershey, PA 17033-0850 |
Second Address | Hershey, PA 17033-2360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2014 |
Last Update Date | 30/07/2020 |