Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR CREDENTIALING)
(570) 271-6603
Entity
Organization
Contact information
Practice address
128 E MAIN ST, NANTICOKE, PA 18634-1604
(570) 258-1304
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-5555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/06/2013
Last updated
03/31/2020
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