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Individual

DR. JESUS U. SOCRATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 HIGHLAND AVE, HANOVER HOSPITAL, HANOVER, PA 17331
(814) 643-6207
Mailing address
PO BOX 382, HUNTINGDON, PA 16652-0382
(814) 643-6207

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD037188L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009541540005
PA
Enumeration date
12/05/2005
Last updated
04/11/2008
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