Provider First Line Business Practice Location Address:
1000 EAST MOUNTAIN DRIVE, GEISINGER MEDICAL CENTER
Provider Second Line Business Practice Location Address:
MC 34-20
Provider Business Practice Location Address City Name:
WILKES BARRE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-808-7818
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/26/2006