Individual
DR. CHAD J ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 HIGHLAND AVE, HANOVER, PA 17331-2297
(717) 988-0000
(717) 782-5716
Mailing address
300 HIGHLAND AVE, HANOVER, PA 17331-2297
(717) 988-0000
(717) 782-5716
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D74371
MD
207P00000X
Emergency Medicine Physician
Primary
MD440122
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102515862
—
PA
Enumeration date
05/23/2008
Last updated
01/30/2021
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