| NPI | 1407096951 |
|---|---|
| Doing Business As | WELLSPAN CARDIOTHORACIC SURGERY - LEBANON |
| Entity Type | Organization |
| Authorized Contact | JODY M BOGER Credentialing Coordinator 717-270-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2016-10-05 |