| NPI | 1134158876 |
|---|---|
| Doing Business As | WELLSPAN PLASTIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVID NOLL Vice President 717-859-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-05-28 |