Provider First Line Business Practice Location Address:
100 N ACADEMY AVE # 20-25
Provider Second Line Business Practice Location Address:
GEISINGER MEDICAL CENTER
Provider Business Practice Location Address City Name:
DANVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17822-9800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-271-6845
Provider Business Practice Location Address Fax Number:
570-271-6762
Provider Enumeration Date:
01/05/2007