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NPI Code Detail

MEDICARE: WANDA J GOBIN D.O.

MEDICARE: WANDA J GOBIN D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician53912GA
22084P0800XPsychiatry PhysicianOS019060PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578513669
Entity Type Code : Individual
Provider Name (Legal Business Name) : WANDA J GOBIN D.O.
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number : 717-851-6969
Provider Business Practice Location Address
First Line : 176 S COLDBROOK AVE
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17201-2712
Country : US
Telephone Number : 717-267-7480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 03/31/2025

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