IndividualActive
Robert Wise, CCP
NPI 1376857755 · Perfusionist · Hershey, PA
Provider details
- NPI number
- 1376857755
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Male
- Sole proprietor
- No
- License
- PRF000109 (PA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
500 University Dr
Hershey, PA 17033-2360
Phone: (717) 531-8330
Fax: (717) 531-3664
Approximate (ZIP-level) locationGet directions
Mailing address
500 University Dr
Hershey, PA 17033-2360
Registry dates
- Enumerated
- 2010-07-28
- Last updated
- 2010-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.