Provider Demographics
NPI:1528110707
Name:HAND, DARBY GEOGHEGAN (DO)
Entity type:Individual
Prefix:DR
First Name:DARBY
Middle Name:GEOGHEGAN
Last Name:HAND
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 HERSHEY PARK DR
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-9528
Mailing Address - Country:US
Mailing Address - Phone:717-533-9111
Mailing Address - Fax:717-520-1819
Practice Address - Street 1:175 HERSHEY PARK DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-9528
Practice Address - Country:US
Practice Address - Phone:717-533-9111
Practice Address - Fax:717-520-1819
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-006047E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE21936Medicare UPIN
PAHA-460815Medicare ID - Type Unspecified