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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Internal Medicine - 5th Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FRANK (CREDENTIALING SUPERVISOR)
(717) 851-6832
Entity
Organization
Contact information
Practice address
1777 5TH AVE, YORK, PA 17403-2632
(717) 843-7780
(717) 848-2578
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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