Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR ENROLLMENTS)
(570) 271-6603
Entity
Organization
Contact information
Practice address
25 CHURCH ST, WILKES BARRE, PA 18765
(570) 830-8831
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-5555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/16/2007
Last updated
04/20/2020
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