Individual
JACOB A GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8521
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(717) 531-8521
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD451895
PA
Other
Enumeration date
06/04/2010
Last updated
07/03/2014
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