400 Winding Creek Blvd, Mechanicsburg, PA 17050
Phone: (833) 770-1543 |

Applications will go to the Membership Committee only when complete.

Applications will be reviewed by the board three times per year; winter, summer & fall.

Any questions call (833) 770-1543 or email

Membership Level

Active - $150 (USD)

Associate - $150 (USD)

Corresponding - $150 (USD)

Training - $0 (USD)

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Medical School

Professional Credentials

ABIM / ABP Certification
A & I Certification
Other Certification
Have you ever had your license to practice medicine or hospital privileges revoked or suspended?
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