Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 30611001 | NY |
Y | 2081P2900X | Pain Medicine | MD062963L | PA |
NPI | 1285390864 |
---|---|
Provider Name | Dr. Erin Marie O'brien |
First Address | Hershey, PA 17033-0621 |
Second Address | Hershey, PA 17033-1319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2021 |
Last Update Date | 09/11/2021 |