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Individual

JEFFREY S SCOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033
(717) 531-8887
(717) 531-0646
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
49859
MN
208C00000X
Colon & Rectal Surgery Physician
Primary
MD464343
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
028415000
MN
Enumeration date
03/30/2007
Last updated
08/16/2018
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