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
42 NORTH SCOTT ST, CARBONDALE, PA 18407-0000
(570) 282-6660
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-5555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/09/2008
Last updated
04/09/2020
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