Wellspan Medical Group

NPI #1124104245 in York, Pennsylvania

Provider Information

NPI Number: 1124104245
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Pediatrics
Enumeration Date: Oct 31, 2006
Last Updated: Jan 11, 2018

Practice Location

Address: 1001 S GEORGE ST
City: York
State: Pennsylvania
ZIP Code: 17403-3676
Phone: (717) 851-3884

Authorized Official

Name: MS. CHRISTINA VEST
Title: CREDENTIALING SUPERVISOR
Phone: (717) 851-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Pediatric Emergency Medicine — Pediatric Emergency Medicine	2080P0204X
Pediatrics	208000000X	Primary

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