Organization
GEISINGER CLINIC DV GEN SURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR)
(570) 271-6144
Entity
Organization
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822
(570) 271-6361
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
204F00000X
Transplant Surgery Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
282N00000X
General Acute Care Hospital
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/03/2006
Last updated
03/13/2024
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