Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HOLDREN (CAO)
(570) 271-5555
Entity
Organization
Contact information
Practice address
836 N WASHINGTON ST, WILKES BARRE, PA 18705-1823
(570) 822-7002
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-5555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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