Organization
WELLSPAN MEDICAL GROUP
Active
Other names
Wellspan Adolescent & Pediatric Gynecology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY F WILKINSON (CREDENTIALING SUPERVISOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
2050 S QUEEN ST, YORK, PA 17403-4829
(717) 851-1990
(717) 848-5540
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1990
(717) 848-5540
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
Primary
—
—
2080A0000X
Pediatric Adolescent Medicine Physician
—
—
Other
Enumeration date
01/13/2014
Last updated
05/05/2014
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