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
12 LILY LAKE ROAD, WAVERLY, PA 18471-7736
(570) 563-1112
(570) 563-1138
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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