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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Internal Medicine - V Twin Dr
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY F WILKINSON (CREDENTIALING COORDINATOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
40 V TWIN DR STE 204, GETTYSBURG, PA 17325-7878
(717) 339-2424
(717) 334-6659
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3051
(717) 851-1405
(717) 334-6659
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03150800
CAPITAL BLUE CROSS
PA
05
—
1007721360120
—
PA
01
—
132618
UNISON
PA
01
—
1382342
HIGHMARK
PA
01
—
1512287
GATEWAY
PA
01
—
20013267
AMERIHEALTH MERCY
PA
01
—
2073720001
AMERIHEALTH 65 PA
PA
01
—
5092062
AETNA
PA
01
—
800174
JOHN HOPKINS
PA
01
—
CA3246
RAILROAD MEDICARE
PA
01
—
KX54
CAREFIRST BCBS
MD
01
—
S1FC
GEISINGER HEALTHPLAN
PA
Enumeration date
12/12/2006
Last updated
04/04/2016
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