Individual
MR. JEFFREY M ROSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 SOUTH LOGAN BOULEVARD, SUITE 3200, HOLLIDAYSBURG, PA 16648-3050
(814) 944-2097
(814) 941-2303
Mailing address
800 SOUTH LOGAN BOULEVARD, SUITE 3200, HOLLIDAYSBURG, PA 16648-3050
(814) 944-2097
(814) 941-2303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD015039E
PA
207K00000X
Allergy & Immunology Physician
Primary
MD439200
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006188300004
—
PA
05
—
1031084300001
—
PA
Enumeration date
07/20/2005
Last updated
07/07/2020
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