NPI | 1730210626 |
---|---|
Doing Business As | JAMES STREET FAMILY MEDICINE DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | GARY A WELCH Chief Operating Officer 717-544-5658 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2007-03-09 |
Last Update Date | 2025-04-28 |