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Organization

GEISINGER CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR ENROLLMENTS)
(570) 271-6144
Entity
Organization

Contact information

Practice address
200 SCENERY DRIVE, STATE COLLEGE, PA 16801
(814) 231-4560
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
05/12/2006
Last updated
03/13/2024
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