Individual
DR. GEETA KRISHNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3151 COLUMBIA BLVD, BLOOMSBURG, PA 17815-8889
(570) 389-7911
(570) 389-7910
Mailing address
3151 COLUMBIA BLVD, BLOOMSBURG, PA 17815-8889
(570) 389-7911
(570) 389-7910
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD038127L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015862770002
—
PA
Enumeration date
04/20/2006
Last updated
10/19/2015
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