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Organization
GEISINGER CLINIC
Active
Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY MULL (DIRECTOR ENROLLMENTS)
(570) 271-6144
Entity
Organization
Contact information
Practice address
701 W OAK ST, FRACKVILLE, PA 17931-1672
(570) 874-4100
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
NULL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
291U00000X
Clinical Medical Laboratory
—
PA
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/16/2006
Last updated
05/16/2019
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