| NPI | 1881020808 |
|---|---|
| Doing Business As | WELLSPAN FAMILY MEDICINE-ROOSEVELT AVENUE |
| Entity Type | Organization |
| Authorized Contact | AMY F WILKINSON Credentialing Supervisor 717-851-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2014-01-10 |