Provider First Line Business Practice Location Address: 
GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
DANVILLE
    Provider Business Practice Location Address State Name: 
PA
    Provider Business Practice Location Address Postal Code: 
17822-0001
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
570-271-6211
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
03/07/2018