Individual
MR. JUSTIN PAUL VANDERMOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PO BOX 1002, EPHRATA, PA 17522-1002
(717) 721-4740
(717) 738-6872
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS023333
PA
208M00000X
Hospitalist Physician
OS023333
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2022
Last updated
08/21/2025
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