Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD472819 | PA |
N | 208600000X | Surgeon | MD472819 | PA |
N | 2086S0102X | Surgical Critical Care | MD472819 | PA |
Y | 2086S0127X | Trauma Surgeon | MD472819 | PA |
NPI | 1134461767 |
---|---|
Provider Name | Melissa B Linskey-Dougherty |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033-2360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2013 |
Last Update Date | 20/05/2021 |