Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR CREDENTIALING)
(570) 271-6603
Entity
Organization
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822
(570) 271-6211
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
05/13/2006
Last updated
03/31/2020
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