Dr STEPHANIE JANE ELLWOOD is a female medical professional, specializing in Family Medicine. She graduated in 2016.
WELLSPAN MEDICAL GROUP
105 4TH ST
EAST BERLIN
PA
173169638
Tel: 7178124900
| Npi | 1508210717 |
| Pac Id | 1557657129 |
| Professional Enrollment Id | I20190729003538 |
| Last Name | ELLWOOD |
| First Name | STEPHANIE |
| Middle Name | JANE |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | WELLSPAN MEDICAL GROUP |
| Group Practice Pac Id | 1951213115 |
| Number Of Group Practice Members | 1024 |
| Line 1 Street Address | 105 4TH ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | EAST BERLIN |
| State | PA |
| Zip Code | 173169638 |
| Phone Number | 7178124900 |
| Hospital Affiliation Ccn 1 | 490110 |
| Hospital Affiliation Lbn 1 | LEWISGALE HOSPITAL MONTGOMERY |
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| Professional Accepts Medicare Assignment | Y |
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