Provider Demographics
NPI:1487811956
Name:FRENCH, CRISTY NICOLE (MD)
Entity type:Individual
Prefix:MRS
First Name:CRISTY
Middle Name:NICOLE
Last Name:FRENCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:CRISTY
Other - Middle Name:NICOLE
Other - Last Name:GUSTAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-0858
Mailing Address - Country:US
Mailing Address - Phone:800-243-1455
Mailing Address - Fax:717-531-7269
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:800-243-1455
Practice Address - Fax:717-531-7269
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4522932085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology