Individual
MS. JULIANN PANDELIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
80 WYNTRE BROOKE DR, YORK, PA 17403-4535
(717) 741-9462
(717) 741-4399
Mailing address
80 WYNTRE BROOKE DR, YORK, PA 17403-4535
(717) 741-9462
(717) 741-4399
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001052L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02377500
CAPITAL BLUE CROSS
PA
01
—
136324
HEALTH AMERICA
PA
01
—
606644
HIGHMARK BLUE SHIELD
PA
Enumeration date
02/02/2006
Last updated
12/09/2010
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