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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WELLSPAN FAMILY MEDICINE - EAST BERLIN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER SWEITZER (DIRECTOR PATIENT FINANCIAL SERVICES)
(717) 851-6838
Entity
Organization
Contact information
Practice address
105 4TH ST # 727, EAST BERLIN, PA 17316-9638
(717) 812-4900
(717) 255-0951
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02293300
CAPITAL BLUE CROSS
PA
01
—
0756905001
AMERIHEALTH 65 PA
PA
05
—
1007721360095
—
PA
01
—
1142342
AMERIHEALTH MERCY
PA
01
—
1519296
GATEWAY
PA
01
—
5388041
AETNA
PA
01
—
597344
HIGHMARK BLUE SHIELD
PA
01
—
800174
JOHN HOPKINS
PA
01
—
82212
UNISON
PA
01
—
CA3246
RAILROAD MEDICARE
PA
01
—
KX10
CAREFIRST MD BCBS
MD
01
—
S1ER
GEISINGER
PA
Enumeration date
12/01/2006
Last updated
06/06/2025
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