Geisinger Clinic

NPI #1093839078 in Wilkes Barre, Pennsylvania

Provider Information

NPI Number: 1093839078
Entity Type: Organization
Organization Name: Geisinger Clinic
Primary Specialty: Pediatrics
Enumeration Date: Mar 16, 2007
Last Updated: Apr 20, 2020

Practice Location

Address: 25 CHURCH ST
City: Wilkes Barre
State: Pennsylvania
ZIP Code: 18765
Phone: (570) 830-8831

Authorized Official

Name: CINDY L MULL
Title: SYSTEM DIRECTOR ENROLLMENTS
Phone: (570) 271-6603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Pediatrics	208000000X	Primary

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