Dr CAROL VANDERPOEL BLAKE PA is a female medical professional, specializing in Physician Assistant. She graduated in 1981.
WELLSPAN MEDICAL GROUP
1600 S GEORGE ST
YORK
PA
174034508
Tel: 7178483615
| Npi | 1538208533 |
| Pac Id | 5597863530 |
| Professional Enrollment Id | I20120613000290 |
| Last Name | BLAKE |
| First Name | CAROL |
| Middle Name | VANDERPOEL |
| Suffix | |
| Gender | F |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 1981 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | WELLSPAN MEDICAL GROUP |
| Group Practice Pac Id | 1951213115 |
| Number Of Group Practice Members | 1024 |
| Line 1 Street Address | 1600 S GEORGE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | YORK |
| State | PA |
| Zip Code | 174034508 |
| Phone Number | 7178483615 |
| Hospital Affiliation Ccn 1 | 390225 |
| Hospital Affiliation Lbn 1 | WELLSPAN EPHRATA COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 2 | 390100 |
| Hospital Affiliation Lbn 2 | LANCASTER GENERAL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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