WELLSPAN MEDICAL GROUP is a primary care clinic center in Hanover, PA. WELLSPAN MEDICAL GROUP NPI is 1396211686. The provider is registered as an organization entity type.
The provider's business location address is:
100 EISENHOWER DR
HANOVER, PA
ZIP 17331-241
Phone: (717) 646-4201
Fax: (717) 646-4202
The provider's authorized official is Juliann Diaz .
The authorized official title is Credentialing Supervisor and has the following contact phone number (717) 851-7134.
The CLIA number assigned to this NPI record is 39D1048135 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/15/2018 and was last updated on 10/15/2018.