Organization Name: | GEISINGER CLINIC |
NPI Number: | 1427291947 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KENNETH HOLDREN (CAO) |
Mailing Address: | 190 Welles St Ste 122 Forty Fort |
State: | PA US |
Postal Code: | 187040000 |
Phone Number: | 5707184140 |
Fax Number: | 5707184141 |
NPI Enumeration Date: | 04/14/2009 |
NPI Last Update Date: | 04/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080P0201X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Pediatric Allergy/Immunology |
Taxonomy Definition: | A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |