| Cocoa Family Medicine | |
|
1120 Cocoa Ave Hershey PA 17033-1712 | |
| (717) 533-4141 | |
| (717) 533-9797 |
| Full Name | Cocoa Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1120 Cocoa Ave, Hershey, Pennsylvania |
| Authorized Official Name and Position | Dean Jerry Leis (MANAGING PHYSICIAN) |
| Authorized Official Contact | 7175334141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cocoa Family Medicine 1120 Cocoa Ave Hershey PA 17033-1712 Ph: (717) 533-4141 | Cocoa Family Medicine 1120 Cocoa Ave Hershey PA 17033-1712 Ph: (717) 533-4141 |
| NPI Number | 1841243235 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841243235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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