Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 12363842-1205 | UT |
N | 2080P0201X | Pediatric Allergist | MD460749 | PA |
NPI | 1962786111 |
---|---|
Provider Name | Mrs. Doerthe Adriana Andreae |
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 | 06/10/2011 |
Last Update Date | 16/10/2021 |