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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Family Medicine - Aspers
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY F WILKINSON (CREDENTIALING SUPERVISOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
2060 CARLISLE RD, ASPERS, PA 17304-9707
(717) 339-2585
(717) 677-4781
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 339-2585
(717) 677-4781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007721360293
—
PA
01
—
1121115
AETNA HMO
PA
01
—
1768516
HIGHMARK BLUE SHIELD
PA
01
—
20069241
AMERIHEALTH MERCY-WMG
PA
01
—
50054395
CAPITAL BLUE CROSS
PA
01
—
5790334
AETNA NON HMO
PA
01
—
800174
JOHN HOPKINS
PA
01
—
CA3246
RAILROAD MEDICARE
PA
01
—
KX10
CAREFIRST BCBS
MD
01
—
S1FA
GEISINGER
PA
Enumeration date
11/29/2006
Last updated
09/18/2015
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