NPI | 1821429994 |
---|---|
Doing Business As | WELLSPAN FAMILY MEDICINE - WEST CORNWALL |
Entity Type | Organization |
Authorized Contact | JODY M BOGER Credentialing Coordinator 717-270-7780 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-11-27 |
Last Update Date | 2016-10-20 |