Individual
LINDA GAGE-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-3052
(570) 271-6429
(570) 271-6854
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01077118A
IN
207Y00000X
Otolaryngology Physician
06575R
LA
207Y00000X
Otolaryngology Physician
Primary
MD462759
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1340898
—
LA
05
—
201383090
—
IN
01
—
P01723985
RR MEDICARE
IN
Enumeration date
07/11/2006
Last updated
08/31/2020
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