| NPI | 1639767759 |
|---|---|
| Doing Business As | WELLSPAN INTERNAL MEDICINE - 5TH AVENUE |
| Entity Type | Organization |
| Authorized Contact | LAURA FRANK Credentialing Supervisor 717-851-6832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |