Organization
GEISINGER CLINCI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HOLDREN (CAO)
(570) 271-5555
Entity
Organization
Contact information
Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711
(570) 808-7399
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-5555
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/02/2010
Last updated
04/02/2010
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