Individual
ASCELINE SO GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
116 S GEORGE ST, SUITE 200, YORK, PA 17401-1474
(717) 845-8617
(717) 854-6645
Mailing address
116 S GEORGE ST, SUITE 301, YORK, PA 17401-1474
(717) 801-4821
(717) 854-0377
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD066439L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001743806
—
PA
01
—
01763401
CAPITAL BLUE CROSS/KEYSTO
PA
01
—
1140783
AMERIHEALTH MERCY HANNAH
PA
01
—
1147653
AMERIHEALTH MERCY LEWISBE
PA
01
—
115091
UNITEDHEALTHCARE - HANNAH PENN
PA
01
—
20013109
AMERIHEALTH MERCY GEORGE
PA
01
—
20013114
AMERIHEALTH MERCY HANOVER
PA
01
—
350359
HIGHMARK BLUE SHIELD
PA
01
—
737711
UPMC
PA
01
—
92962
UNITEDHEALTHCARE - GEORGE STREET
PA
01
—
G93617
HEALTH AMERICA/HEALTH ASS
PA
01
—
P002764
GATEWAY HEALTH PLAN
PA
Enumeration date
06/04/2006
Last updated
03/22/2016
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