Individual
TIMOTHY ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-6039
Mailing address
500 UNIVERSITY DRIVE, MAIL CODE H043; PO BOX 850, HERSHEY, PA 17033
(717) 531-6039
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
04084
KY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
OS020426
PA
Other
Enumeration date
05/13/2014
Last updated
07/15/2020
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