| NPI | 1568884351 |
|---|---|
| Doing Business As | WELLSPAN ADOLESCENT & PEDIATRIC GYNECOLOGY |
| Entity Type | Organization |
| Authorized Contact | AMY F WILKINSON Credentialing Supervisor 717-851-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-05-05 |