Provider Demographics
NPI:1245646884
Name:BARRON, JEROME (DO)
Entity type:Individual
Prefix:
First Name:JEROME
Middle Name:
Last Name:BARRON
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 PETERS ROAD
Mailing Address - Street 2:SUITE 200 AND 203
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-7682
Mailing Address - Country:US
Mailing Address - Phone:717-627-7675
Mailing Address - Fax:717-627-7676
Practice Address - Street 1:51 PETERS ROAD
Practice Address - Street 2:SUITE 200 AND 203
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7682
Practice Address - Country:US
Practice Address - Phone:717-627-7675
Practice Address - Fax:717-627-7676
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS023901207Q00000X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine