Basic Information
Provider Information
NPI: 1225416118
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SHOLLENBERGER
FirstName: CORI
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 UNIVERSITY DR
Address2:  
City: HERSHEY
State: PA
PostalCode: 170332360
CountryCode: US
TelephoneNumber: 7175315394
FaxNumber: 7175310066
Practice Location
Address1: 834 EATON AVE FL 1
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 180181832
CountryCode: US
TelephoneNumber: 4845267474
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/11/2015
LastUpdateDate: 04/19/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/19/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XMD467292PAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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