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Organization
GEISINGER CLINIC
Active
Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HOLDREN (CAO)
(570) 271-5555
Entity
Organization
Contact information
Practice address
457 N MAIN ST, PITTSTON, PA 18640-2183
(570) 883-9444
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
—
—
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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