Individual
DAVID C. INGRAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
(717) 530-0882
Mailing address
PO BOX 858, CA410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02005075A
IN
207RI0200X
Infectious Disease Physician
02005075A
IN
207RI0200X
Infectious Disease Physician
Primary
OS021315
PA
Other
Enumeration date
04/25/2014
Last updated
06/14/2021
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