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Organization

GEISINGER CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR ENROLLMENTS)
(570) 271-6603
Entity
Organization

Contact information

Practice address
300 HOLLYWOOD BLVD, ORWIGSBURG, PA 17961-2353
(570) 366-1715
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
208000000X
Pediatrics Physician
2085R0202X
Diagnostic Radiology Physician
282N00000X
General Acute Care Hospital
291U00000X
Clinical Medical Laboratory
PA
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
05/17/2006
Last updated
04/20/2020
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