| NPI | 1023048592 |
|---|---|
| Doing Business As | WELLSPAN FAMILY MEDICINE- CROSSROADS |
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVID NOLL Vice President 717-859-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-05-05 |