| Geisinger Clinic | |
|
499 Wyoming Ave Kingston PA 18704-3602 | |
| (570) 283-2161 | |
| Not Available |
| Full Name | Geisinger Clinic |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 499 Wyoming Ave, Kingston, Pennsylvania |
| Authorized Official Name and Position | Cindy Mull (DIRECTOR) |
| Authorized Official Contact | 5702716144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geisinger Clinic 100 N Academy Ave Danville PA 17822-4903 Ph: () - | Geisinger Clinic 499 Wyoming Ave Kingston PA 18704-3602 Ph: (570) 283-2161 |
| NPI Number | 1255362778 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255362778 | NPI | - | NPPES |
| 131133 | Other | HIGHMARK BS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (Pennsylvania) | Secondary |
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