Wellspan Medical Group

NPI #1386194850 in Ephrata, Pennsylvania

Provider Information

NPI Number: 1386194850
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Internal Medicine
Enumeration Date: Oct 10, 2016
Last Updated: Oct 10, 2016

Practice Location

Address: 446 N READING RD
Address 2: SUITE 301
City: Ephrata
State: Pennsylvania
ZIP Code: 17522-9802
Phone: (717) 733-6546

Authorized Official

Name: CHRISTINA MOON
Title: SUPERVISOR-VERIFICATION SERVICES
Phone: (717) 851-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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