| 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 |