Organization
GOOD SAMARITAN PHYSICIAN SERVICES
Active
Other names
WellSpan Vascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN S MARTIN (MANAGER)
(717) 270-3821
Entity
Organization
Contact information
Practice address
4TH AND WALNUT STREETS, 2NS FLOOR, LEBANON, PA 17042
(717) 270-3751
(717) 270-3754
Mailing address
PO BOX 300, LEBANON, PA 17042-0300
(717) 270-3751
(717) 270-3754
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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