| Wellspan Medication Management Program | |
|
1401 Roosevelt Ave York PA 17404-2244 | |
| (717) 812-4053 | |
| Not Available |
| Full Name | Wellspan Medication Management Program |
|---|---|
| Speciality | Internal Medicine |
| Location | 1401 Roosevelt Ave, York, Pennsylvania |
| Authorized Official Name and Position | Laura Frank (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7178516832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Medication Management Program 3421 Concord Rd York PA 17402-9001 Ph: (717) 851-1405 | Wellspan Medication Management Program 1401 Roosevelt Ave York PA 17404-2244 Ph: (717) 812-4053 |
| NPI Number | 1437774098 |
|---|---|
| Provider Enumeration Date | 06/10/2020 |
| Last Update Date | 05/04/2022 |
| Certification Date | 05/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437774098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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