| NPI | 1114292760 |
|---|---|
| Doing Business As | WELLSPAN FAMILY MEDICINE - FREDERICK ST |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA VEST Credentialing Supervisor 717-851-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2018-01-11 |