Wellspan Medical Group
NPI #1427509942 in Christiana, Pennsylvania
Provider Information
- NPI Number
- 1427509942
- Entity Type
- Organization
- Organization Name
- Wellspan Medical Group
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 19, 2016
- Last Updated
- Sep 17, 2019
Practice Location
- Address
- 1135 GEORGETOWN RD
- Address 2
- SUITE 201
- City
- Christiana
- State
- Pennsylvania
- ZIP Code
- 17509-9543
- Phone
- (717) 466-2462
Authorized Official
- Name
- JULIANN DIAZ
- Title
- CREDENTIALING SUPERVISOR
- Phone
- (717) 851-7134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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