Organization
GEISINGER WYOMING VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (DIRECTOR)
(570) 271-6603
Entity
Organization
Contact information
Practice address
190 WELLES ST, STE 112-114, FORTY FORT, PA 18704-4968
(570) 714-1114
(570) 714-1116
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-5555
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2013
Last updated
08/05/2021
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