Geisinger

NPI #1619342862 in Scranton, Pennsylvania

Provider Information

NPI Number: 1619342862
Entity Type: Organization
Organization Name: Geisinger
Primary Specialty: Physician Assistant
Enumeration Date: Dec 14, 2015
Last Updated: Dec 14, 2015

Practice Location

Address: 1800 MULBERRY ST
City: Scranton
State: Pennsylvania
ZIP Code: 18510-2369
Phone: (570) 703-8000

Authorized Official

Name: MICHAEL PICOZZO, PA-C
Title: PHYSICIAN ASSISTANT
Phone: (570) 703-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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