NPI | 1386429702 |
---|---|
Doing Business As | WELLSPAN INTERNAL MEDICINE - PARK 5TH AVE |
Entity Type | Organization |
Authorized Contact | LAURA FRANK Credentialing Manager 717-851-6832 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2023-08-25 |
Last Update Date | 2023-08-25 |