Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Breast Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SWEITZER (CREDENTIALING COORDINATOR)
(717) 851-6838
Entity
Organization
Contact information
Practice address
804 GRANDVIEW DR STE 2, EPHRATA, PA 17522-1681
(717) 639-2955
(717) 461-7443
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/19/2019
Last updated
05/06/2026
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