Geisinger Clinic
Family Medicine in Carbondale, PA. Organization (NPI-2).
NPI number1700212917
StatusActive
Last updated in NPPESFeb 28, 2019
Details
- NPI
- 1700212917
- Entity type
- Organization (NPI-2)
- Legal business name
- Geisinger Clinic
- Organization subpart
- No
- Enumeration date
- Sep 19, 2013
- Last updated
- Feb 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
267 Brooklyn StSte B
Carbondale, PA 18407-2836
Phone 570-282-4100 · Fax 570-282-4200
Mailing address
100 N Academy AveDanville, PA 17822-4903
Phone 570-271-5555
Authorized official
Cindy Mull
Director
5702716144
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