Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR ENROLLMENTS)
(570) 271-6603
Entity
Organization
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-5555
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/17/2006
Last updated
03/31/2020
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