| NPI | 1457857864 |
|---|---|
| Doing Business As | WELLSPAN FAMILY MEDICINE - NORMAN DRIVE |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA M VEST Credentialing Supervisor 717-851-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-05-08 |