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Individual

JESSICA ERIN ERICSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8349
(717) 531-0648
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD454078
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1030634280001
PA
Enumeration date
03/23/2009
Last updated
04/19/2016
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