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
RTE 11 LACKAWANNA TRAIL, NICHOLSON, PA 18446-3822
(570) 942-6124
(570) 942-6193
Mailing address
100 N ACADEMY, DANVILLE, PA 17822-3034
(570) 271-6211
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD044346E
PA
207Q00000X
Family Medicine Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
—
PA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/16/2006
Last updated
04/20/2020
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