Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR ENROLLMENT)
(570) 271-6144
Entity
Organization
Contact information
Practice address
620 UNIVERSITY AVE, SELINSGROVE, PA 17870-1154
(570) 372-0536
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/14/2011
Last updated
06/12/2019
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