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Organization
GEISINGER CLINIC
Active
Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR CREDENTIALING)
(570) 271-6144
Entity
Organization
Contact information
Practice address
30 BALDWIN BLVD, SHAMOKIN DAM, PA 17876-9519
(570) 884-7970
(570) 884-7975
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
NULL
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
NULL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
2085B0100X
Body Imaging Physician
—
NULL
2085B0100X
Body Imaging Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
NULL
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
07/27/2020
Last updated
07/28/2020
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