| NPI | 1437670395 |
|---|---|
| Doing Business As | WELLSPAN FAMILY MEDICINE - 222 W FULTON STREET |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MOON Credentialing Coordinator 717-851-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2018-06-16 |