# GEISINGER CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902410673
- **Authorized official:** CINDY L MULL (DIRECTOR)
- **Authorized official phone:** (570) 271-6603

## Contact information

- **Practice address:** 20 DIANA LN, WEST HAZLETON, PA 18202-1210
- **Practice address phone:** (570) 790-2260
- **Practice address fax:** (570) 790-2277
- **Mailing address:** 100 N ACADEMY AVE, DANVILLE, PA 17822-4903
- **Mailing address phone:** (570) 271-6144
- **Mailing address fax:** (570) 271-6578

## Taxonomy

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

## Other

- **Enumeration date:** 09/01/2020
- **Last updated:** 10/26/2020
