Timothy Roach
Pediatrician Pediatric Emergency Doctor
500 University Dr
Hershey
, Pennsylvania 17033-2360
Timothy Roach
Pediatrician Pediatric Emergency Doctor
500 University Dr
Hershey
, Pennsylvania 17033-2360
(717) 531-6039
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About
Features
Specialties
- Pediatrician
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Timothy Roach
- 500 University Drive Mail Code H043; Po Box 850
- Hershey, PA
- Zip : 17033
- Phone : (717) 531-6039
Second Address
- Timothy Roach
- 500 University Dr
- Hershey, PA
- Zip : 17033-2360
- Phone : (717) 531-6039
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 04084 | KY |
| Y | 2080P0204X | Pediatric Emergency Doctor | OS020426 | PA |
National Provider Identifier
| NPI | 1013328913 |
|---|---|
| Provider Name | Timothy Roach |
| First Address | Hershey, PA 17033 |
| Second Address | Hershey, PA 17033-2360 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/05/2014 |
| Last Update Date | 15/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.