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Organization
GEISINGER CLINIC
Active
Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY MULL (DIRECTOR)
(570) 271-6144
Entity
Organization
Contact information
Practice address
166 HANOVER ST, WILKES BARRE, PA 18702-3549
(570) 808-6672
(570) 808-6673
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-5555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
10/26/2012
Last updated
06/23/2020
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