Organization · Type 2 NPI

Wellspan Medical Group

Pediatric Surgery Physician · York, PA

NPI number 1417820838 Active

Practice location

25 Monument Rd Ste 100
York, PA 17403-5050

Call (717) 812-7500 Map

Fax (717) 848-2074

Mailing address

601 Memory Ln
York, PA 17402-2231

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XNone listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

27 other providers at this address

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About NPI 1417820838

Wellspan Medical Group's National Provider Identifier is 1417820838, issued on Sep 24, 2025. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in York, PA. The record was last updated on Sep 24, 2025.