Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | MD022108E | PA |
N | 208000000X | Pediatrician | MD0022108E | PA |
Y | 2080P0006X | Developmental - Behavioral Pediatrician | MD022108E | PA |
NPI | 1356391528 |
---|---|
Provider Name | Jeanette C Ramer |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033-2360 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 18/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0006669810001 | (05) | PA |
C31844 | (02) |