Provider Demographics
NPI:1376504449
Name:RENAISSANCE HEALTHCARE OF HERSHEY
Entity Type:Organization
Organization Name:RENAISSANCE HEALTHCARE OF HERSHEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:DAMION
Authorized Official - Last Name:CURTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-835-0700
Mailing Address - Street 1:3003 ELIZABETHTOWN RD
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-9323
Mailing Address - Country:US
Mailing Address - Phone:717-835-0700
Mailing Address - Fax:717-835-0702
Practice Address - Street 1:3003 ELIZABETHTOWN RD
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-9323
Practice Address - Country:US
Practice Address - Phone:717-835-0700
Practice Address - Fax:717-835-0702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS009344L207Q00000X
PAPT008436L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA020618Q2TMedicare ID - Type UnspecifiedDR. CURTIN
PA063520Medicare ID - Type UnspecifiedGROUP PROVIDER #
PA036960Q2TMedicare ID - Type UnspecifiedSTEPHEN HAHN, MPT