Organization
GEISINGER WYOMING VALLEY MEDICAL CENTER
Active
Other names
Geisinger Mt Top Radiology, a Service of GWV Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY MULL (DIRECTOR ENROLLMENT/CREDENTIALING)
(570) 271-6603
Entity
Organization
Contact information
Practice address
35 SOUTH MOUNTAIN BLVD, MOUNTAIN TOP, PA 18707
(570) 271-6211
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
09/30/2015
Last updated
10/02/2015
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