Individual
ANDREW JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8521
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8521
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MT200630
PA
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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