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Organization
GEISINGER CLINIC
Active
Organization
GEISINGER CLINIC
Active
Other names
Geisinger Medical Group Pittston
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY L MULL (DIRECTOR CREDENTIALS & ENROLLMENT)
(570) 271-6603
Entity
Organization
Contact information
Practice address
42 N MAIN ST., PITTSTON, PA 18640
(570) 654-0880
(570) 655-9857
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17821-4903
(570) 271-6621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
PA
207Q00000X
Family Medicine Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
NULL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
PA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
—
PA
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
PA
Other
Enumeration date
05/12/2006
Last updated
09/22/2015
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