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NPI Code Detail

MEDICARE: GEISINGER CLINIC

MEDICARE: GEISINGER CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1962819532
Entity Type Code : Organization
Provider Name (Legal Business Name) : GEISINGER CLINIC
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-5555
Fax Number :
Provider Business Practice Location Address
First Line : 407 3RD AVE
Second Line :
City : JESSUP
State : PA
Zip : 18434-1415
Country : US
Telephone Number : 570-383-7922
Fax Number : 570-383-5450
Authorized Official
Title or Position : DIRECTOR REVENEU MANAGEMENT
Name : CINDY L MULL
Credential :
Telephone Number : 570-271-5555
Provider Enumeration Date : 07/16/2014
Last Update Date : 11/12/2014

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Directions to “GEISINGER CLINIC ” Practice Location

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