Individual
DR. JASON ROBERT CROAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
845 FISHBURN RD, HERSHEY, PA 17033-2015
(717) 531-8181
(717) 531-3509
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1033
NE
207Q00000X
Family Medicine Physician
Primary
OS019536
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035497850001
—
PA
Enumeration date
07/28/2011
Last updated
12/03/2018
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