| NPI | 1013642586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY F WILKINSON Pe Manager 717-231-8038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207QA0000X Family Medicine Adolescent Medicine |
| 207RA0000X Internal Medicine Adolescent Medicine | |
| 2080A0000X Pediatrics Adolescent Medicine | |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-07-19 |