Organization
GEISINGER CLINIC
Active
Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY MULL (DIRECTOR)
(570) 271-6144
Entity
Organization
Contact information
Practice address
499 WYOMING AVE, KINGSTON, PA 18704-3602
(570) 283-2161
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131133
HIGHMARK BS NUMBER
—
Enumeration date
07/05/2006
Last updated
08/19/2019
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