# GEISINGER CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Geisinger Medical Group Pittston
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154372530
- **Authorized official:** MS. CINDY L MULL (DIRECTOR CREDENTIALS & ENROLLMENT)
- **Authorized official phone:** (570) 271-6603

## Contact information

- **Practice address:** 42 N MAIN ST., PITTSTON, PA 18640
- **Practice address phone:** (570) 654-0880
- **Practice address fax:** (570) 655-9857
- **Mailing address:** 100 N ACADEMY AVE, DANVILLE, PA 17821-4903
- **Mailing address phone:** (570) 271-6621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | PA | Yes |
| 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