Individual
JODY M ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 HOPE DR, SUITE 102, HERSHEY, PA 17033-2086
(717) 531-7300
(717) 531-3527
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(717) 531-8521
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD065968L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016993600006
—
PA
Enumeration date
05/16/2006
Last updated
04/16/2014
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