Organization
GEISINGER MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (DIRECTOR CREDENTIALING & ENROLLMENT)
(570) 271-6603
Entity
Organization
Contact information
Practice address
436 W VALLEY AVE, ELYSBURG, PA 17824-7247
(570) 672-1101
(570) 672-1103
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6621
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207RX0202X
Medical Oncology Physician
071801
PA
2085R0202X
Diagnostic Radiology Physician
—
—
211D00000X
Podiatric Assistant
—
—
213E00000X
Podiatrist
—
—
213EP1101X
Primary Podiatric Medicine Podiatrist
—
—
213ER0200X
Radiology Podiatrist
—
—
213ES0000X
Sports Medicine Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2014
Last updated
04/01/2025
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